Child grief intake that flags how recent the loss was
See the child's age range, how recently the loss occurred, and whether you're speaking with the parent or legal guardian before your team schedules an arrangement meeting.
The exact intake your child grief support leads complete
This is the real 6-question guided intake for Child Grief Support — the same flow your customers finish before you ever pick up the phone.
What a qualified child grief support lead should tell you
Age-specific grief support for children processing the death of a loved one, covering counseling, group sessions, and caregiver guidance based on the child's age, distress level, and how recently the loss occurred.
- Age Range Child Needing
- Recently Did Loss Occur
- Parent Or Legal Guardian
- Support
- Child Showing Signs Distress
- Child Received Any Prior
The questions your team needs answered
Every child grief support intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| What is the age range of the child needing support? | The child's age range signals which support format (play-based, individual, or teen-oriented) is likely appropriate before staff even respond. |
| How recently did the loss occur? | How recently the loss occurred carries the widest weighted range in the catalog, making it a primary driver of lead priority. |
| Are you the parent or legal guardian of this child? | A yes weighted at 10 versus a no weighted at 1 helps staff distinguish direct parental requests from third-party inquiries needing guardian follow-up. |
| What kind of support are you looking for? | The multi-select answer shows exactly which service types (counseling, group, parent guidance, resources) the family wants so staff can route to the right offering. |
| Is the child currently showing signs of distress that concern you day to day? | A yes weighted higher than a no on visible daily distress helps separate families who may need a faster response from those in a more stable place. |
| Has the child received any prior grief support or counseling? | Knowing whether the child has had prior grief support gives staff context on the family's history without affecting whether the lead qualifies. |
How Cliont scores child grief support leads
Every answer is weighted automatically — no manual review required.
Value signals
- Within the past month
- 1-6 months ago
- 6-12 months ago
- Over a year ago
- Parent Or Legal Guardian: yes
- Child Showing Signs Distress: yes
See the lead your team receives
Child Grief Support Lead
From first click to qualified lead
Follow hosts and planners through one smooth, guided flow.
They land & meet you
Your video greeting plays instantly — a real face instead of a blank form.
They explain the event
Smart questions adapt to their event and capture the full scope.
They add inspiration
Inspiration photos and event details come attached, so you can quote fast.
You get a ready lead
Scored and qualified — waiting for you to win it.
Built for child grief support workflows
| Cliont capability | Child Grief Support application |
|---|---|
| Weighted answer scoring | Guardian status is scored 10 for yes versus 1 for no, so inquiries from someone other than a parent or legal guardian surface differently than direct family requests. |
| Multi-select capture | Families can request one-on-one counseling, group sessions, parent guidance, and resources all in one submission instead of forcing a single choice. |
| Recency-based lead ordering | The loss-timing question's four weighted brackets (past month down to over a year) let recent losses stand out from older, lower-urgency inquiries. |
| Distress-signal flagging | A yes on the day-to-day distress question is weighted higher than a no, helping staff spot families who may need a quicker response. |
Common child grief support lead scenarios
Recent loss, visible distress
A parent reports the loss happened within the past month and the child is showing daily distress — the intake weighs both signals heavily and this submission surfaces as a priority lead.
Extended family inquiring, not guardian
A grandparent or aunt fills out the form on behalf of the family without being the parent or legal guardian — the intake still captures the request but flags the lower guardian-consent weight for staff to follow up correctly.
Teen with prior counseling history
A 14-18 year old has already received some grief counseling and the family is now looking for group support sessions instead — the intake distinguishes this from a first-time request.
Young child, unsure what's needed
A caregiver of a child under 5 selects 'not sure' for the type of support wanted shortly after a recent loss — the intake still routes this as worth reviewing given the loss recency and age.
Older loss, no current distress
The loss occurred over a year ago and the child isn't showing day-to-day distress signs — the intake reflects the lower urgency weighting compared to a fresh loss with visible symptoms.
Connect Cliont to your workflow
Send leads
HubSpot, HighLevel, Salesforce, JobNimbus
Book events
Google Calendar, Outlook Calendar, Calendly
Notify your team
Email, SMS, Slack
Automate follow-up
Zapier, Webhooks, API
Simple, transparent pricing
Choose the plan that works for your business.
Professional
Unlimited intake forms and leads for your growing business.
- Unlimited intake forms
- Custom video greetings
- AI-powered voice bot
- English + Spanish support
- Automatic lead scoring
- Digital estimates & e-signatures
- Photo, video & file upload
- Advanced analytics dashboard
Pay Per Lead
Only pay when you receive a qualified lead.
- Unlimited intake forms
- Custom video greetings
- AI-powered voice bot
- English + Spanish support
- Automatic lead scoring
- Digital estimates & e-signatures
- Photo, video & file upload
- Charged only for submitted leads
More grief support intake templates
Child Grief Support lead-intake FAQs
How does the intake handle inquiries from someone who isn't the child's parent?
The guardian question carries a much higher weight for a yes answer than a no, so a submission from a non-guardian (like a relative or teacher) still comes through but is scored lower until parental consent is confirmed.
Does it matter how long ago the loss happened?
Yes — losses within the past month score highest, tapering down through the 1-6 month, 6-12 month, and over-a-year brackets, so your team can see recency at a glance before responding.
What if the family already tried counseling before?
The intake captures whether the child has received prior grief support, giving your staff context on the family's history without treating it as a disqualifying factor.
Can families ask for more than one type of support at once?
Yes — the support-type question is multi-select, so a family can request one-on-one counseling and parent guidance in the same submission instead of picking just one option.
How does the intake flag a child showing daily distress?
A yes on the distress question carries more weight than a no, which helps separate families who need a faster response from those exploring options for the future.
Does the age of the child change how the lead is handled?
The age-range question lets you see whether you're dealing with a young child, pre-teen, or teenager up front, since support formats and counselor fit often differ by age group.
Turn child grief support visitors into qualified events
Give every child grief support visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you reply with a quote.