Defective product intake that captures the manufacturer up front
Our intake asks whether the injury happened in the last three years, what medical treatment followed, and whether the client can identify the product and manufacturer — then collects product photos, packaging, and a receipt before the lead ever reaches your CRM.
The exact intake your defective product injuries leads complete
This is the real 7-question guided intake for Defective Product Injuries — the same flow your customers finish before you ever pick up the phone.
What a qualified defective product injuries lead should tell you
Injuries caused by a consumer product that was defectively designed, defectively manufactured, or sold without adequate warnings, where the person was using or exposed to the product in a normal or foreseeable way.
- Suffer Physical Injury After
- Use Product In Normal
- Believe Product Was Unsafe
- Injury Happen Within Last
- Get Medical Treatment, Or
- Injury Cause Financial Losses
- Identify Product And Who
The questions your team needs answered
Every defective product injuries intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| Did you suffer a physical injury after using or being exposed to a consumer product? | A confirmed physical injury from product use or exposure is the baseline fact the entire claim rests on; a no here undercuts everything downstream. |
| Did you use the product in a normal or intended way (or in a way that was reasonably foreseeable)? | Normal or foreseeable use goes directly to whether a defect or misuse caused the harm, which shapes how strong a design or manufacturing claim will be. |
| Do you believe the product was unsafe because of its design, how it was made, or missing/unclear warnings or instructions? | Identifying whether the suspected problem is design, manufacturing, or a warning issue tells the firm which defect theory the matter is likely to require. |
| Did the injury happen within the last 3 years? | How recently the injury happened flags proximity to statute-of-limitations deadlines the firm needs to check against the relevant jurisdiction. |
| Did you get medical treatment, or do you have ongoing symptoms from the injury? | Documented treatment or ongoing symptoms give objective medical evidence tying the injury to the product, rather than an unsubstantiated report. |
| Did the injury cause financial losses (like medical bills or missed work) or significant pain or limitations? | Financial losses or significant pain and limitations indicate how much potential damages the matter carries, which affects intake priority. |
| Can you identify the product and who made or sold it (or do you still have the product, packaging, receipt, or photos)? | Being able to identify the product and manufacturer, or still having the item, packaging, or receipt, determines whether the claim can actually be proven. |
How Cliont scores defective product injuries leads
Every answer is weighted automatically — no manual review required.
Value signals
- Suffer Physical Injury After: yes
- Use Product In Normal: yes
- Believe Product Was Unsafe: yes
- Injury Happen Within Last: yes
- Get Medical Treatment, Or: yes
- Injury Cause Financial Losses: yes
Urgency signals
- Believe Product Was Unsafe
See the lead your team receives
Defective Product Injury Lead
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 defective product injuries workflows
| Cliont capability | Defective Product Injuries application |
|---|---|
| Photo and document upload widget | Clients attach product photos, packaging or labeling, and a purchase receipt directly in the intake, so the firm sees physical evidence before the first call instead of chasing it down afterward. |
| Weighted scoring engine | Combines the injury, defect-type, treatment, and financial-loss answers into one score, so a case with a clear defect and documented damages ranks well above one missing medical treatment or losses entirely. |
| Conditional evidence flagging | When a client can't identify the manufacturer or no longer has the product, the intake doesn't block submission — it flags the missing evidence field so the firm knows exactly what to ask about first. |
| CRM routing | Leads with a recent injury, treatment history, and an identified manufacturer route into your CRM with the uploaded product photos and receipt already attached to the record. |
Common defective product injuries lead scenarios
Recent injury, product still in hand
Client was hurt within the last three years, kept the product with its packaging and receipt, and got medical treatment. Every high-value answer lines up, so the intake routes this straight to your CRM as a strong candidate.
Used the product in an unintended way
The client answers no on normal/intended use. That's a lower-confidence signal for a design-defect theory, so the lead still comes through but flagged for the firm to weigh a foreseeable-use argument before booking.
No treatment, no real losses
An injury is reported but there was no medical treatment and no financial loss or lasting pain. The intake surfaces this combination so you can decide whether it's worth consultation time at all.
Manufacturer unknown, product discarded
Client can't name the brand or model and no longer has the product, packaging, or receipt. The evidence gap is flagged clearly rather than silently dropped, so the firm can judge whether it's recoverable.
Injury from several years back
The injury happened more than three years ago. The intake still captures the full picture but surfaces the timing so the firm can check it against the relevant statute of limitations before scheduling.
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
Defective Product Injuries lead-intake FAQs
What happens if a client can no longer produce the product or receipt?
The intake still captures an answer to the product-identification question and submits the lead either way. A 'no' is simply flagged so the firm can judge how much of the evidence gap might be recoverable through retailer or purchase records before booking a consultation.
Does the intake automatically reject misuse cases?
No. Answering that the product wasn't used in a normal or foreseeable way is a lower-confidence signal, not a disqualifier — the lead still comes through so the firm can decide whether a foreseeable-use argument still holds up.
How does the intake define a 'recent' injury?
It asks directly whether the injury happened within the last three years. Leads outside that window still submit, but the answer is preserved so the firm can check it against the applicable statute of limitations by jurisdiction.
Does the intake separate design defects from failure-to-warn claims?
It asks a single question covering design, manufacturing, and warning defects together, so it captures that the client suspects the product was unsafe without asking them to classify the legal theory themselves.
What evidence does the intake collect beyond the medical questions?
Alongside injury and treatment questions, it requests product photos, packaging or labeling, and a purchase receipt, so the firm has physical evidence attached to the lead before the consultation happens.
Will the intake tell me how serious the damages might be?
It asks whether the injury caused financial losses like medical bills or missed work, or significant pain and limitations, as a single yes/no signal that helps size up the potential value of the matter at intake.
Turn defective product injuries visitors into qualified cases
Give every defective product injuries visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book a consultation.