Don't know about the rest - but on my 1994 F150 The only adjustment is side to side without taking off the trim bezels. The up and down adjustment was a Philips screw head while the other adjustment was something like a 3/16 or smaller socket. I parked the truck close to the garage and taped a piece of tape in line with the headlights and headlight centers along with the center line of the hood on the garage door. The I backed out about 20 feet and adjusted the lights to centerline on High beams.