This questionnaire is designed to speed up the diagnosis process (and therefore save you money).

    Please answer questions as accurately as possible.


    Your details...

    Title (required)

    First Name (required)

    Last Name (required)

    House and Street (required)

    Post Code (required)

    We need this to identify you in our system to avoid duplicates.

    Choose how we contact you...

    E-Mail Address

    We need this to contact you.

    Please tick to confirm we can contact you by E-Mail

    Mobile Number

    This needs to be a valid number so we can get in touch with you...

    Please tick to confirm we can contact you by Mobile and SMS

    Your bike...

    Bike Make (required)

    Bike Model (required)

    Bike Reg Number (required)

    Bike Mileage (required)

    About the fault...

    Job Reference Number (If known)

    Is there a fault light showing?


    Has any work been carried out which could be related to the fault?


    If YES, what work was carried out?

    In your own words please give a description of the fault

    The more information you supply us the more likely we can replicate and fix the fault.

    How regular is the fault?

    Intermittent/ Not OftenMost RidesEvery Ride

    How many times has the fault occurred?

    Where is your bike kept?

    During the Day?

    GarageUnder CoverOutside

    At Night?

    GarageUnder CoverOutside

    Please read through your answers thoroughly before clicking the send button below.