Evaluation Form

Price - Quoted
Price Expected
New Car Model Interested
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Car Details
1. Vehicle Passenger Compartment Function and Condition Check OK NOT OK Complaint Estimated Cost
Horn system
Indicator lamps, symbol illumination
Front and rear lamps
Wiper and spray nozzles, windshield
Seat belts
2. Doors and Roof Function and Condition Check OK NOT OK Complaint Estimated Cost
Door glass- Front & Rear
Trunk remote opening and closing
Sliding roof glass
3. Wheels and Tyres Remove Wheels for Condition Check OK NOT OK Complaint Estimated Cost
Tyres Brand and Size:
Wheels Type and Size:
Alloy / steel wheel condition
Spare wheel condition
Wheel covers
4. Brakes Function and Condition Check OK NOT OK Complaint Estimated Cost
Brake pads, front & rear
Brake disks, front & rear
Brake pedal - Parking
Brake fluid
5. Engine compartment Visual, Function and Condition Check OK NOT OK Complaint Estimated Cost
Chassis for accidents ( wheel house)
Electrical harness
Cooling system, cooling fluid & Leaks
Engine oil level, condition
Power steering oil & Leaks
Battery :
Polly-V-belt
Throttle linkage and rods
Engine hood catch and hinges
6. Front and Rear end of vehicle Function and Condition Check OK NOT OK Complaint Estimated Cost
Headlamp height adj. and function
Wiper blade of windshield
Windshield wiper arm
Fuel flap & Cap
7. Inside passenger compartment Function and Condition Check OK NOT OK Complaint Estimated Cost
Steering wheel
Instrument cluster
Multifunction switch lever
Light switches
Gear shift lever & boot
Mirrors
Power windows
Wood linings
Door linings and covers
Seats- Front & Rear
Head rests
Audio functions
Front & Rear speakers
8. Road Test Function and Behavior Check OK NOT OK Complaint Estimated Cost
Central locking
Ignition key
Instrument cluster
Lights check up system
Warning lights
Start up engine
Cold start
Engine noise level
Engine smoke
Heating and Ventilation
Air condition/ internal temperature
A.C. re-circulating & de-humidifying
Gears shifting up & down
Reverse gear
Transmission noise, vibration
Clutch slip, judder, noise
Differential noise
Wheel bearing noise
Suspension noise
Steering noise
Instruments, rev. counter
Instruments, engine temperature
Instruments, engine oil pressure
Instruments, fuel
Instruments, speedometer
Instruments, total km counter
Instruments, partial km counter
Brakes noise, vibration
Parking brake
Engine shut off
9. Body Paint / Glasses / Upholstery Condition Check - make notes for scratches, dents, colour variation, corrosion, stains, cracks, tear and rips OK NOT OK Complaint Estimated Cost
Tool kit & spare wheel bolts
Jack and wheel bolt spanner
Body panels
Bumpers
Plastic panels
Trims, chrome trims
Door and windshield glasses
Seats
Upholstery
Mats
Mud flaps
Other remarks:
Total Refurbishment cost :    
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Name of Evaluator
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Name Of New Car Sales Consultant
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Name of Dealer
 
 
     
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2016 POC.