Name of any other Persons Authorized to Approve Repairs

Email

Address

Date of Scheduled Appt.*

Are you the primary driver of this Subaru? If not, who is?

Does this Subaru have a nickname?

Do you go into the mountains often? In the winter and/or summer? How often?

How long do you plan on keeping this Subaru?

Do you run snow tires in the winter?

Do you have to drive in the snow with this Subaru?

Do you take your Subaru off pavement? If so, how often?

Do you every take your Subaru on rocky 4x4 trails? If so, how often?

Do you tow with your Subaru? Do you tow in the mountains? How often? How much weight?

On the scale below, please indicate how important Snow Traction is to you?
Not Important At AllNot Very ImportantNeutralSomewhat ImportantVery Important

On the scale below, please indicate how important Short Term Reliability is to you?
Not Important At AllNot Very ImportantNeutralSomewhat ImportantVery Important

On the scale below, please indicate how important Long Term Reliability is to you?
Not Important At AllNot Very ImportantNeutralSomewhat ImportantVery Important

On the scale below, please indicate how important Vehicle Safety is to you?
Not Important At AllNot Very ImportantNeutralSomewhat ImportantVery Important

On the scale below, please indicate how important Keeping Repair and Maintenance Costs Down is to you?
Not Important At AllNot Very ImportantNeutralSomewhat ImportantVery Important

On the scale below, please indicate how important Keeping Repair and Maintenance Costs Down is to you?
Not Important At AllNot Very ImportantNeutralSomewhat ImportantVery Important

Is this vehicle used for commercial purposes or any method of generating income?*
No, this vehicle is not used for commercial purposesYes, this vehicle is used to generate income.