See the diagnosis and exposure details before the consult
The intake confirms the diagnosis type, checks whether exposure happened in the U.S. through a job, military service, or a named product, and flags whether the diagnosed person has passed away — then sends qualified cases to your CRM with medical and exposure documentation attached.
The exact intake your asbestos and mesothelioma leads complete
This is the real 7-question guided intake for Asbestos and Mesothelioma — the same flow your customers finish before you ever pick up the phone.
What a qualified asbestos and mesothelioma lead should tell you
Claims brought by a patient diagnosed with mesothelioma or another asbestos-related disease, or by their surviving family, tied to identifiable asbestos exposure through a job, military service, or a named product or building in the United States.
- (Or Close Family Member)
- Person With Diagnosis Exposed
- Asbestos Exposure Happen Because
- Diagnosis Made Within Last
- Person With Diagnosis Still
- If Person Has Passed
- Already Hired Lawyer Or
The questions your team needs answered
Every asbestos and mesothelioma intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| Are you (or a close family member) diagnosed with mesothelioma or another asbestos-related disease (such as asbestos lung cancer or asbestosis)? | The specific diagnosis determines whether the case fits asbestos litigation at all, so a confirmed mesothelioma or related diagnosis is the highest-weighted answer in the intake. |
| Was the person with the diagnosis exposed to asbestos in the United States (at work, in the military, or through products/buildings)? | U.S. exposure is typically required to pursue domestic asbestos litigation, so this answer filters out exposure that occurred entirely outside the country. |
| Did the asbestos exposure happen because of a job, military service, or a specific product or building you can name or describe? | Being able to name or describe the job, product, or building tied to the exposure is what lets a firm identify a viable defendant, so a vague answer here weakens the case even with a confirmed diagnosis. |
| Was the diagnosis made within the last 3 years? | A diagnosis made within the last three years reduces statute-of-limitations risk, which is why more recent diagnoses score higher. |
| Is the person with the diagnosis still living? | Whether the patient is living changes the legal posture of the claim from a personal injury case to a potential estate or wrongful death matter. |
| If the person has passed away, did they pass away within the last 3 years? | When the patient has passed away, whether that happened within the last three years affects the wrongful death filing window, so it's scored similarly to the diagnosis-timing question. |
| Have you already hired a lawyer or signed an agreement with a law firm about this asbestos/mesothelioma matter? | A prospect who has already signed with another firm is a lower-fit lead, since your team can't take on a case that's already under representation. |
How Cliont scores asbestos and mesothelioma leads
Every answer is weighted automatically — no manual review required.
Value signals
- (Or Close Family Member): yes
- Person With Diagnosis Exposed: yes
- Asbestos Exposure Happen Because: yes
- Diagnosis Made Within Last: yes
- If Person Has Passed: yes
Lower-fit signals
- Already Hired Lawyer Or: no
See the lead your team receives
Mesothelioma Lead — Confirmed Occupational Exposure
From first click to qualified lead
Follow people and businesses seeking counsel 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 matter
Smart questions adapt to their matter and capture the full scope.
They share the documents
The facts, dates, and any paperwork come attached, so you can assess the matter before the consultation.
You get a ready lead
Scored and qualified — waiting for you to win it.
Built for asbestos and mesothelioma workflows
| Cliont capability | Asbestos And Mesothelioma application |
|---|---|
| Weighted scoring | Diagnosis confirmation, U.S. exposure, and a named exposure source carry the heaviest weights, so a claim with all three ranks well above one with a vague or unconfirmed exposure history. |
| Conditional branching | If the diagnosed person has passed away, the intake asks whether the death occurred within the last three years, giving your team a wrongful-death-specific data point instead of forcing a generic personal injury flow. |
| Lower-fit flagging | Leads who confirm they've already signed with another law firm are marked as lower fit so your intake list stays focused on unrepresented prospects. |
| Document collection | The intake can request diagnostic records and exposure evidence (employment or service records) alongside the questionnaire, so the file arrives with documentation your team needs for a case review. |
Common asbestos and mesothelioma lead scenarios
Recent diagnosis, named employer exposure
A living client was diagnosed with mesothelioma within the last three years and can name the shipyard or worksite where exposure occurred — the intake scores this as high priority with no existing counsel.
Wrongful death claim after recent passing
The diagnosed family member has passed away within the last three years; the intake routes this toward a wrongful death path rather than a standard personal injury path.
Older diagnosis, statute concerns
The diagnosis was made more than three years ago, which lowers the score and flags the case for a statute-of-limitations review before scheduling a consultation.
Exposure source can't be identified
The client has a diagnosis but can't name a specific job, product, or building tied to the exposure, weakening the liability picture and scoring lower than a case with a named defendant.
Prospect already has a law firm
The client confirms they've already signed with another firm; the intake flags this as lower fit so staff don't spend consultation time on a case that's already represented.
Connect Cliont to your workflow
Send leads
HubSpot, HighLevel, Salesforce, JobNimbus
Book matters
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 personal injury intake templates
Asbestos and Mesothelioma lead-intake FAQs
How does the intake tell mesothelioma cases apart from other asbestos-related claims?
The first question asks directly whether the diagnosis is mesothelioma or another asbestos-related disease like asbestos lung cancer or asbestosis, so your team sees the exact diagnosis type before reviewing the file.
Does the intake check whether the exposure actually happened in the U.S.?
Yes — one question confirms U.S. exposure through work, military service, or products/buildings, and a follow-up asks whether the client can name or describe the specific job, product, or building involved.
What happens if the person with the diagnosis has already passed away?
The intake asks whether the person is still living and, if not, whether the death occurred within the last three years, which helps your team route the file toward a wrongful death review instead of a standard injury case.
How are leads who already hired another law firm handled?
That question is a lower-fit signal in the scoring model, so those leads still come through but are flagged so your team doesn't book a consultation on a case that's already represented elsewhere.
Does the timing of the diagnosis affect how the lead is scored?
Yes — a diagnosis made within the last three years scores higher than an older one, since that timing feeds directly into your statute-of-limitations review.
What documents can the intake collect for an asbestos case?
You can require uploads such as pathology or diagnostic reports and employment or military records that support the exposure history described in the intake answers.
Turn asbestos and mesothelioma visitors into qualified cases
Give every asbestos and mesothelioma visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book a consultation.