Auto Advocate Intake Form | Everyday Auto Solutions

Name *

Email address *

Vehicle Year/Make/Model. *

Specific Questions or Red Flags You Want Reviewed: e.g., "They quoted 4 hours labor for an alternator," or "They recommended a flush on a transmission replaced last year.")

"Describe all interactions and conversations you've had with the repair facility."

"Upload your repair order/estimate here (Image or PDF)." *

For Concierge Clients Only (Service Booking & Vetting) *

Yes
No

What specific service or maintenance does your vehicle need? e.g., routine oil change, 60k-mile milestone service, brake pad replacement, state inspection)

Service Location / Zip Code: What city, town, or zip code should we search within?) *

Maximum Distance You Are Willing to Travel *

5 miles
10 miles
20 miles
Within 50 miles

Preferred Days and Times for Your Appointment: e.g., Tuesday or Thursday mornings, drop off by 8:00 AM) *

Do you require loaner vehicle, shuttle, or waiting-room accommodations?

Yes
No