Brake Issue - Daves Ultimate Automotive

Please take a moment to complete our pre-appointment Brake System Questionnaire. The questions below offer us insight to your symptoms and any previous repairs. They are used to help us locate and repair your vehicle concerns, saving you time and money.

Choose a Location*

Name*

Email*

License Plate*

Do you have Wheel locks?*

Yes
No

I hear a brake noise:

Never
All the time
Anytime I apply the brakes
The noise goes away when I apply the brakes

I would describe the noise as:

Squeal
Grind
Thumping
Rattle

What area would you say the noise comes from?

Not sure
Left front wheel
Right front wheel
Left rear wheel
Right rear wheel

Noise Comments

I would describe the symptom as:

Low brake pedal
Spongy pedal

Steering wheel shakes while braking at

Low speeds
High speeds
All speeds

Brake pedal pulsates at

Low speeds
High speeds
All speeds

Vehicle Pulls or Drifts

Left while braking
Right while braking

Symptoms Comments

Brake warning light on?

Yes
No

If yes:

ABS Light
Brake warning light
On all the time
On intermittently

Any brake service or repair performed in the past?

Yes
No

If yes how long ago?

1 to 12 months
1 to 3 years
More than 3 years

Description of repairs if you know

I have paper work from previous service I can bring

Yes
No

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