DPF Assessment Form - CAT Automotive

01603 702400 info@enginetuning.net

Open Mon-Fri 08:00 – 17:30

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DPF Assessment Form

Please fill this form in before your DPF assessment..

Has the vehicle been looked at by another garage?(Required)

Yes

No

Don't Know

If yes, when and who by?

When was the vehicle last serviced and who by?(Required)

Do you have to add engine oil regularly?(Required)

Yes

No

If yes, how much ?

Have any fault codes been cleared from the vehicle?(Required)

Yes

No

Don't Know

Have any previous attempts been made to chemically clean the DPF?(Required)

Yes

No

Don't Know

Has anything been added to the fuel / put in the tank?(Required)

Yes

No

Don't Know

Have any DIY chemicals been used in attempts to clean the DPF?(Required)

Yes

No

Don't Know

How many miles do you drive a week on average?(Required)

How often do you drive on motorways / Dual carriageways: -(Required)

Daily

Weekly

Monthly

Never

What distance do you drive on these roads each journey?(Required)

5

10

20

30

40

50+

What is your normal driving speed on these roads?(Required)

30mph

40mph

50mph

60mph

70mph

80mph

90mph

How much fuel do you put in each time you fill up £’s?(Required)

5

10

15

20

30

40

50

Full Tank

Do you drive with below a quarter tank of fuel?(Required)

Regularly

Occassionally

Never

How long have you had this fault and continued to drive for?(Required)

1 Week

2 Weeks

3 Weeks

4 Weeks

5 Weeks

6 Weeks

8 Weeks

10 Weeks

12+ Weeks

At what limit (£) would you like us to contact you at before continuing?(Required)

.. or just fix it.

Vehicle Reg(Required)

Vehicle Make(Required)

Vehicle Model(Required)

Please ensure there is at least half a tank of fuel in your vehicle on arrival so we can test / road test your vehicle.

Name(Required)

First Last

Address(Required)

Mobile Number(Required)

Telephone Number

Email(Required)

I hereby confirm that answers to the above questions are accurate to the best of my knowledge and that I fully understand the described consequences of my answers and that I am the main driver/owner/keeper of the vehicle described above and accept any risks involved in authorising the cleaning \ repair of this vehicle. I also authorise CAT Automotive to keep my details on file for invoice, VAT, Tax Guarantee and relevant details to contact.

Tick to confirm that you have read the above information and agree to our terms and conditions(Required)

I confirm

Address

CAT Automotive
Unit 7
175 Salhouse Road
Norwich
NR7 9AQ

Telephone

Opening Times

Mon – Fri: 8:00 – 17:30

Email

info@enginetuning.net

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Telephone

Email

info@enginetuning.net

Opening Times

Mon – Fri: 8:00 – 17:30

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01603 702400
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