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Driver's Name
   
 
 
 
What is the model year of your Fusion?
   
 
 
 
What is the current mileage (odometer reading) of your Fusion?
   
 
 
 
Is the braking effort better, same, or worse than before the change in brake pads?
 
Better
 
Same
 
Worse
 
 
 
Please explain how the braking effort is worse.
   
 
 
 
How satisfied are you with the braking effort across all speeds and weather conditions?
 
Very Satisfied
 
Satisfied
 
Unsatisfied
 
Very Unsatisfied
 
 
 
Please explain why you are unsatisfied with the braking effort.
   
 
 
 
Have you noticed any excessive dust on the wheels?
 
Yes
 
No
 
 
 
Can this excessive dust be washed off during a car wash?
 
Yes
 
No
 
Unsure
 
 
 
Have you noticed any judder/pulsation/vibration?
 
Yes
 
No
 
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