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Transmission Evaluation Form
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| Please circle all that apply. Some questions have more than one answer |
| 1. |
Are there any transmission fluid leaks ? |
Y
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N
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Note: Leaks should be identified by visual inspection:
(Circle below all that Apply) |
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Shifter Linkage | Front Seal | Pan Gasket | Tailshaft-Driveshaft Seal | Cooling line
fittings |
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| 2. |
What size is engine 4, 6 or 8 cyl (Circle One) | Litre/cid: _____________ |
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What year is your vehicle ? _____________ | Car | Truck | Van ? (circle one) |
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What Model is it ? ____________________________________________ |
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| 3. |
Does the problem occur when fluid is at normal level ? |
Y
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N
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| 4a. |
Was the transmission serviced and then the problem occurred ? |
Y
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N
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| 4b. |
If so, how long after service did problem occur - 1 2 3 4 5 6 or 7 or more months (Circle
One) |
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| 4c. |
If so, What type of fluid was used. ATF +3 | Dextron | Mercron | Type F | Multi-compatible
Type |
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| 4d. |
Does the transmission seem to slip in any gears? |
Y
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N
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| 4e. |
If so which gears are slipping: R - 1st 2nd 3rd 4th ? (Circle all that apply) |
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| 5a. |
Does the transmission shift to Reverse when shifter is moved to R ? |
Y
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N
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| 5b. |
If yes, does Reverse gear seem to be working properly ? (Not slipping) |
Y
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N
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| 6a. |
Does the transmission shift to Drive when shifter is moved to D ? |
Y
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N
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| 6b. |
If yes, do all forward gears seem to be working properly ? (Not slipping) |
Y
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N
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| 6c. |
If no, will transmission shift 1st to 2nd & then 2nd to 3rd when using the shifter
lever to upshift manually ? |
Y
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N
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| 6d. |
If no, will transmission shift from 1st to 2nd automatically in D ? |
Y
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N
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| 6e. |
If no, Will transmission shift from 2nd to 3rd automatically in D ? |
Y
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N
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| 6f. |
Is transmission stuck in a forward gear ? |
Y
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N
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| 6g. |
If so, which gear transmission seems stuck in: R 1 | 2 | 3 | 4/OD (Circle One) |
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| 7a. |
Does the transmission always start out in 1st (low) each time after coming to a complete
stop ? |
Y
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N
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| 7b. |
If not, is this the only problem with the transmission ? |
Y
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N
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| 8a. |
When the problem started, did you notice a noise or vibration at about the same ? |
Y
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N
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| 8b. |
If so, Has the noise got progressively worse ? |
Y
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N
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| 8c. |
If so, Did the noise get worse as the problem got more frequent ? |
Y
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N
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| 9. |
Is there an indication of a second down-shift after coming to a complete stop ? |
Y
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N
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| 11a. |
Does the engine seem to accelerate (transmission slip) real high as the transmission
shifts ? |
Y
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N
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| 11b. |
If so, what gear does this happen in 1 | 2 | 3 | 4/OD (Circle One) |
Y
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N
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| 12a. |
Does fluid appear to be dark brown and smell burnt ? |
Y
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N
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| 12b. |
Does fluid appear to be black or carbon like material on dipstick above fluid level ? |
Y
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N
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| 12c. |
Does fluid smell sweet and run off the dipstick like water ? |
Y
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N
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| 12d. |
Has fluid ever gone low enough where transmission began to slip ? |
Y
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N
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| 12d. |
Does fluid feel like oil when placed between finger tips and rubbed together (oily -
slippery) ? or |
Y
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N
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| 12e. |
Does the fluid feel more like water (non slippery) when fingers are rubbed together ? |
Y
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N
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Please add Note Here: _____________________________________________________________________ |
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_______________________________________________________________________________________ |
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_______________________________________________________________________________________ |
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_______________________________________________________________________________________ |
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_______________________________________________________________________________________ |
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_______________________________________________________________________________________ |
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_______________________________________________________________________________________ |
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