JT Performance Packages        

In order to expedite the process, please fill out this form ahead of your
appointment.  You can either email it to us or print this screen once you fill it out, and bring
it with you so we don't have to ask you these questions, taking up more of your time.
This is designed for us to get to know you and your truck so we may recommend the best product

and formula for your driving habits and/or needs.

Thank you


JT Diesel Customer Performance Questionnaire
619-449-0991
www.jtdieselperformance.com


Customer Information

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Home Phone:
Cell Phone:
Email:
Yr/Model:
2WD or 4WD:
Automatic or Manual:
Mileage:
Tire Size:
Gear Ratio:
Do you Tow/haul, Yes or No?:
What do you tow and/or haul:
If livestock, what kind:
Average tow/haul weight:
On a daily basis, how is your truck used:
Explain if you need to:
What is your current estimated horse power:
What is your desired horse power:
Do you prefer subtle or hard shifting:
Do you have any upgrades on your truck now, yes/no:
If yes, explain:
What upgrades are you considering, if any:
Do you have an Exhaust Brake:
If no, do you plan on getting one:
Do you have any questions:
What do you plan to achieve with your upgrade:
How did you hear about us: