Bridge

SURVEY:

(1) CAR ... Describe your car:

Make _______

Model ______

Year ___02____

Engine type ____1.8t___

Auto/Manual ___m____

FWD/AWD ___awd____


(2) _____ NUMBER OF FAILURES ... Is this survey for your:

A ... 1st. Coil failure

B ..x. 2nd. Coil failure

C ... 3rd. Coil failure

D ... 4th. Coil failure


SYMPTOMS ... Check all symptoms that occurred for each failure:

A ... 1st__x___2nd__x___3rd_____4th_____Shaking

B ... 1st___x__2nd__x___3rd_____4th_____ Vibration

C ... 1st__x___2nd___x__3rd_____4th_____Rough Idle

D ... 1st__x___2nd___x__3rd_____4th_____Flashing Engine Warning Light

E ... 1st_____2nd_____3rd_____4th_____Steady Engine Warning Light

F ... 1st_____2nd_____3rd_____4th_____Minor loss of power while driving

G ... 1st_____2nd_____3rd_____4th_____Moderate loss of power whild driving

H ... 1st___x__2nd__x___3rd_____4th_____Major loss of power while driving

I ... 1st_____2nd_____3rd_____4th_____Total loss of power while driving

J ... 1st_____2nd_____3rd_____4th_____Got progressively worse with time.

K ... 1st_____2nd_____3rd_____4th_____Could not keep the engine running

L ... 1st_____2nd_____3rd_____4th_____Didn't try to drive it

3a .. Do you have any other comments regarding the symptoms you experienced:

_______________________________


(4) 1st __c___ 2nd _c____ 3rd _____ 4th _____ WHEN FIRST NOTICED ... Did you first notice the problem:

A ... Upon starting your car

B ... After starting your car but before driving away

C ... Within 5 minutes of starting your car and driving away

D ... On the road - Inconvenience but not hazardous

E ... On the road - Hazardous situation - Traffic

F ... On the road - Hazardous situation - Weather

G ... On the road - Hazardous situation - Bad place to be stranded

4a .. Do you have any additional comments regarding the above:

_______________________________


(5) 1st __c___ 2nd __c___ 3rd _____ 4th _____ WEATHER ... Was the weather:

A ... Hot (85 degrees or higher)

B ... Mild (between 50 and 85 degrees)

C ... Cold - Above Freezing (between 32 and 50 degrees)

D ... Cold - Below Freezing (below 32 degrees)

5a .. Do you have any other comments regarding the weather (snow, rain, sleet, etc):

___rain both times_____________________________


(6) 1st __a___ 2nd __g___ 3rd _____ 4th _____ AFTER THE FAILURE OCCURRED ... Once you noticed this problem
with your car what did you do:

A ... Turned off the ignition ... Had it flatbedded to the dealer

B ... Pulled to the side of the road ... had it flatbedded to the dealer

C ... Drove to a safe parking spot ... Had it flatbedded to the dealer

D ... Drove until you felt you were a traffic hazard and concerned for your safety ... Have it flatbedded to the dealer

E ... Drove until additional symptoms made you too concerned to drive further ... Had it flatbedded to the dealer

F ... Drove home ... Had it flatbedded to the dealer

G ... Drove directly to the dealer

6a .. Any other comments regarding the above:

_______________________________________


(7) __d___ DRIVING STYLE ... Is your driving style typically:

A ... Gentle

B ... Moderate

C ... Moderate and sometimes aggressive

D ... Aggressive and sometimes moderate

E ... Aggressive


(8) 1st ___e__ 2nd ___c__ 3rd _____ 4th _____ DEALER RESPONSES ... What did your dealer tell you when the car was brought in:

A .. Car ready .. Or ... Will be ready within one day.

B ... Parts are on order. One week estimate.

C ... Parts are on order. Two week estimate.

D ... Parts are on order. Three week estimate.

E ... Parts are on order. Estimate more than 3 weeks.

F ... Parts are on order. No idea of when they'll be in.

J ... Comments _________________________


(9) 1st __a___ 2nd __a___ 3rd _____ 4th _____ COIL REPLACEMENT ... Did the dealer replace
your coil(s) with the latest revision coil (Part # 06B-905-115-J for 1.8T -or- 06C-905-115-E for 3.0):

A ... Yes

B ... No

C ... Don't know


(10) 1st ___b__ 2nd __a___ 3rd _____ 4th _____ 'ALL' COIL REPLACEMENT ... Did the dealer replace 'all' your coils?

A ... Yes

B ... No

C ... Don't know


(11) - LOCATION ... Geographically, where did the failure occur (Closest major city and State or Province):

1st _______hartford,ct________________________________

2nd ___hartford, ct____________________________________

3rd _______________________________________

4th _______________________________________


(12) - MILEAGE ... What was the mileage on your car when your coil failure occurred.

1st ____7000___________________________________

2nd ____10000___________________________________

3rd _______________________________________

4th _______________________________________


(13) - WHEN ... In what 'month' and 'year' did this failure occur:

1st ____12/02___________________________________

2nd ____2/03___________________________________

3rd _______________________________________

4th _______________________________________


(14) - CAR BUILD DATE/PURCHASE DATE ... When was your car built/delivered (month/year) ... (Look inside your driver door pillar for build date).

Build date: ___03/02______________________________

Date you took delivery: ___07/02____________________


(15) 1st __c___ 2nd __c___ 3rd _____ 4th _____ DISRUPTION ... How serious was the effect of this problem on your planned activities ...

A ... Inconvenient .. Comments _________________________________________

B ... Disruptive .. Comments ___________________________________________

C ... VERY Disruptive .. Comments ______________________________________

D ... Screwed things up royally .. Comments _______________________________

E ... My workplace was affected .. Comments ______________________________

F ... My family was affected .. Comments __________________________________

G ... Travel or vacation plans were affected .. Comments _____________________

H ... Scheduled appointment was affected .. Comments ______________________

J ... Stranded during a trip .. Comments ___________________________________

K ... No disruption to my life what-so-ever .. Comments ______________________

L ... Other __________________________________________________ _________


(16) 1st __d___ 2nd __a___ 3rd _____ 4th _____INDICATORS ... In days prior to your coil failure, did your car provide any hints that car trouble was brewing such as:

A ... Change in the way the car idles

B ... Recent change in the way the car starts

C ... Poorer than normal gas mileage

D ... None

E ... Other _________________________________________


(17) 1st __a___ 2nd __a___ 3rd _____ 4th _____FAILED COIL ... If you know for certain the part number or the revision of the coil(s) that failed, please note it here: (If you get a chance, please ask. There are rumors of failures of the latest rev coils. We need substantiation).

A ... 1.8t Part # 06B-905-115-H (Rev H)

B ... 1.8T Part # 06B-905-115-J (Rev J)

C ... 3.0 Part # 06C-905-115-D (Rev D)

D ... 3.0 Part # 06C-905-115-E (Rev D)

E ... Other ______________________

F ... Don't know for sure


(18) __b___ NUMBER OF SURVEYS SUBMITTED ... Please indicate the number of 'Failed Coilpack' surveys or questionnaires you've filled out for us (including this one):

A ... One

B ... Two

C ... Three

D ... Four


(19) - VENTING AND CUSSING ... Add any comments below that you'd like to share:

PlacitasNM (aka Ken)

This was added to question #1 by request:

Aftermarket CPU upgrade (chipped) .. No _____ .. Yes ______ .. If so, manufactured by ________________

Bridge

...thanks placitus