See JUUL use, age at first use, and diagnosis up front
Every submission captures JUUL device use, age at first use, and diagnosed health harm before a name ever reaches your calendar, with medical records and proof of purchase collected upfront.
The exact intake your juul and vaping injuries leads complete
This is the real 8-question guided intake for JUUL and Vaping Injuries — the same flow your customers finish before you ever pick up the phone.
What a qualified juul and vaping injuries lead should tell you
A claim tied to health harm allegedly caused specifically by JUUL brand vaping products, distinguished from generic vaping or e-cigarette injury claims by device brand, age at first use, and documented medical diagnosis.
- Use Juul Device Or
- Suffer Serious Health Problem
- Get Medical Treatment Or
- Use Juul Before Turned
- Start Using Juul When
- Juul Use Happen In
- Injury, Diagnosis, Or First
- Have Out- -Pocket Costs,
The questions your team needs answered
Every juul and vaping injuries intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| Did you use a JUUL device or JUUL pods (not just other vape brands)? | This subservice is defined by the JUUL brand specifically, so a 'no' answer signals the lead likely belongs to a different vaping-injury claim your firm doesn't handle here. |
| Did you suffer a serious health problem that you believe was caused by vaping (such as lung injury, breathing problems, seizures, heart issues, or nicotine addiction)? | Confirming an actual serious health problem tied to vaping separates a real injury claim from someone who is simply a JUUL user with no harm to report. |
| Did you get medical treatment or a diagnosis for that health problem? | A formal diagnosis or treatment record is the evidence a firm needs to move a claim forward, so this answer strongly affects how consultation-ready the lead is. |
| Did you use JUUL before you turned 21 (or before the legal age in your state at the time)? | Underage use at the time of first vaping is a core theory in JUUL litigation, so this answer carries significant weight toward case value. |
| Did you start using JUUL when you had not previously been a regular nicotine user (for example, you did not regularly smoke or vape nicotine before JUUL)? | Someone who became a first-time nicotine user through JUUL supports a stronger addiction-onset narrative than someone who was already using nicotine before switching products. |
| Did your JUUL use happen in the United States? | Use occurring outside the United States raises a jurisdiction problem for most firms handling JUUL claims, so a 'no' here pulls the score down sharply. |
| Did your injury, diagnosis, or first medical treatment related to vaping happen within the last 10 years? | Whether the injury or diagnosis falls within the last 10 years helps flag cases that may be running up against a workable timeframe before your team invests consultation time. |
| Did you have out-of-pocket costs, missed work/school, or other significant impacts because of the health problem? | Documented financial or work impact from the health problem strengthens the damages picture your team will need to evaluate the claim's value. |
How Cliont scores juul and vaping injuries leads
Every answer is weighted automatically — no manual review required.
Value signals
- Use Juul Device Or: yes
- Suffer Serious Health Problem: yes
- Get Medical Treatment Or: yes
- Use Juul Before Turned: yes
- Start Using Juul When: yes
- Juul Use Happen In: yes
See the lead your team receives
JUUL and Vaping 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 juul and vaping injuries workflows
| Cliont capability | JUUL And Vaping Injuries application |
|---|---|
| Weighted scoring model | Device brand, diagnosed health harm, and medical treatment carry the heaviest weights, so a lead who used JUUL and was formally diagnosed scores well above one who reports symptoms with no treatment history. |
| Document and photo capture | The intake collects medical records and proof of JUUL purchase or packaging directly in the submission, so your team isn't chasing evidence after the consultation is already booked. |
| Automatic CRM routing | Leads who confirm JUUL use, US-based use, and a documented diagnosis route straight to your CRM as consultation-ready, while brand-mismatch or non-US cases are flagged lower without blocking submission. |
| Structured yes/no branching | Because every question in this intake is a simple yes/no, the form moves fast through device brand, age at first use, and treatment history without forcing free-text explanations your team has to interpret. |
Common juul and vaping injuries lead scenarios
Underage first-time user, diagnosed injury
A prospective client who started JUUL before turning 21 with no prior nicotine use and now has a documented lung or heart diagnosis lands as a high-value, high-fit submission on every signal at once.
Long-time smoker who switched to JUUL
Someone who was already a regular nicotine user before JUUL still scores on device brand and diagnosis, but the intake captures that prior-use detail so you can weigh dependence claims differently than a first-time-user case.
Vaped a different brand, not JUUL
A caller who used a non-JUUL vape pen answers no on the device question, which pulls the score down since this subservice is built around JUUL-specific litigation, not vaping injuries generally.
Use or treatment happened outside the US
A submission where the vaping use or medical treatment occurred outside the United States scores lower, flagging a jurisdiction mismatch before your team spends time on it.
Health issue with no medical documentation
A lead who reports a health problem but never sought treatment or a formal diagnosis still gets logged, but scores lower than a case with records already in hand.
Connect Cliont to your workflow
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Notify your team
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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
JUUL and Vaping Injuries lead-intake FAQs
What happens if the intake reveals they used a different vape brand, not JUUL?
The intake still records the answer, but a 'no' on device brand carries a low weight in the scoring model, since this subservice is built around JUUL-specific claims rather than vaping injuries generally.
Does the intake check whether the injury falls within a usable time window?
Yes, the intake asks whether the injury, diagnosis, or first related treatment happened within the last 10 years, which helps your team spot cases that may fall outside a workable timeframe before a consultation is booked.
How does the intake handle underage use claims?
It asks directly whether the person used JUUL before turning 21 or the legal age in their state at the time, which is one of the higher-weighted questions in the scoring model for this subservice.
What documents does the intake ask leads to upload?
It collects medical records or diagnosis documentation and, where available, proof of JUUL purchase or product packaging, so your team has evidence in hand before the first call.
Does the intake distinguish between new users and people who already used nicotine before JUUL?
Yes, it asks whether the person was already a regular nicotine user before starting JUUL, which lets you separate first-time-addiction claims from continued-use claims without a phone screen.
Why does the intake ask where the vaping use took place?
It confirms whether the use happened in the United States, since a 'no' answer carries very low weight and signals a jurisdiction issue your firm likely can't take on.
Turn juul and vaping injuries visitors into qualified cases
Give every juul and vaping injuries visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book a consultation.