Roundup litigation intake that captures diagnosis timing up front
Ask prospective clients about their Roundup exposure history, lymphoma diagnosis date, and length of exposure, then collect medical records before any consultation gets booked.
The exact intake your roundup litigation leads complete
This is the real 7-question guided intake for Roundup Litigation — the same flow your customers finish before you ever pick up the phone.
What a qualified roundup litigation lead should tell you
Roundup litigation covers claims from people who were exposed to glyphosate-based weed killer and later diagnosed with non-Hodgkin lymphoma or another lymphoma, where the intake needs to establish exposure, diagnosis, and timing before a case can be evaluated.
- Ever Used Roundup (Glyphosate)
- After That Exposure, Were
- Lymphoma Diagnosis In 2000
- Use Or Get Exposed
- Identify When And Where
- Have Medical Treatment Or
- Represented By Lawyer Roundup-Related
The questions your team needs answered
Every roundup litigation intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| Have you ever used Roundup (glyphosate) weed killer, or been regularly exposed to it (for example at home, on a farm, or at work)? | Without confirmed Roundup exposure there is no basis for the claim, so this answer anchors the entire score. |
| After that exposure, were you diagnosed by a doctor with non-Hodgkin lymphoma (NHL) or another lymphoma? | A non-Hodgkin lymphoma or lymphoma diagnosis is the medical event the litigation is built on, so this carries the same top weight as exposure. |
| Was your lymphoma diagnosis in 2000 or later? | Diagnoses before 2000 are harder to tie to the relevant Roundup exposure period, so a post-2000 diagnosis scores meaningfully higher. |
| Did you use or get exposed to Roundup for at least one year before your diagnosis? | At least a year of exposure before diagnosis strengthens the causal link, which is why it carries a heavier weight than a shorter exposure window. |
| Can you roughly identify when and where you used or were exposed to Roundup (such as the years, job, or property)? | Being able to place the exposure in a timeframe or location makes the claim easier to substantiate, so vague answers score lower. |
| Did you have medical treatment or other significant impacts from the lymphoma (such as chemotherapy, radiation, surgery, or time missed from work)? | Documented treatment or lost work time reflects the real-world impact of the diagnosis and adds weight to the claim's value. |
| Are you currently represented by a lawyer for a Roundup-related claim? | A lead already represented on this claim is unlikely to sign with your firm, so a 'yes' answer here pulls the score down instead of up. |
How Cliont scores roundup litigation leads
Every answer is weighted automatically — no manual review required.
Value signals
- Ever Used Roundup (Glyphosate): yes
- After That Exposure, Were: yes
- Lymphoma Diagnosis In 2000: yes
- Use Or Get Exposed: yes
- Identify When And Where: yes
- Have Medical Treatment Or: yes
Lower-fit signals
- Represented By Lawyer Roundup-Related: no
See the lead your team receives
Roundup Litigation 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 roundup litigation workflows
| Cliont capability | Roundup Litigation application |
|---|---|
| Weighted scoring | Confirmed exposure plus a post-2000 lymphoma diagnosis and at least a year of exposure pushes the score up, while an existing representation answer of 'yes' pulls it down. |
| Conditional question flow | Diagnosis timing and exposure duration questions only carry full weight once exposure and lymphoma diagnosis are both confirmed, keeping the intake relevant to the actual fact pattern. |
| Document upload | Prospective clients can attach medical records confirming their lymphoma diagnosis and any exposure documentation directly in the intake, before your team ever calls them. |
| CRM routing | Leads with confirmed exposure, a qualifying diagnosis, and no existing representation are sent to your CRM as ready-to-review claims, while lower-fit leads are marked separately. |
Common roundup litigation lead scenarios
Confirmed exposure and NHL diagnosis
The lead reports regular Roundup exposure and a lymphoma diagnosis in 2000 or later, with a clear timeline and documented chemotherapy. This is the strongest combination and should route straight to the top of the queue.
Exposure but pre-2000 diagnosis
The lead confirms exposure and a lymphoma diagnosis, but the diagnosis predates 2000 and exposure lasted under a year. The lower weighting on both answers means the lead still reaches you, just scored lower than a stronger fact pattern.
Already represented by another attorney
Exposure and diagnosis both check out, but the prospective client says they already have counsel on this claim. The intake flags this as lower fit so you don't spend consultation time on a lead you likely can't sign.
Vague or unconfirmed diagnosis
The person describes Roundup exposure but hasn't been diagnosed with non-Hodgkin lymphoma or another lymphoma, or can't say when or where the exposure happened. Missing the diagnosis or timeline answer keeps the score low without a manual review.
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More personal injury intake templates
Roundup Litigation lead-intake FAQs
How does the intake separate real Roundup claims from unrelated cancer inquiries?
The intake requires both confirmed Roundup exposure and a documented non-Hodgkin lymphoma or lymphoma diagnosis before it treats a lead as high value; either answer coming back negative pulls the score down.
What happens if the prospective client already has a lawyer for this claim?
That question is weighted so a 'yes' scores low and a 'no' scores high, so leads who are already represented get flagged as lower fit instead of landing in your queue as a fresh intake.
Does the intake check whether the exposure happened long enough before diagnosis?
Yes, it asks whether the diagnosis came in 2000 or later and whether exposure lasted at least a year before diagnosis, both of which carry meaningful weight in the score.
Can leads submit a claim without being able to pin down exact dates or locations?
They can, but the intake specifically asks whether they can roughly identify when and where the exposure occurred, and a 'no' answer reduces the score since causation timing gets harder to establish.
What treatment information does the intake collect?
It asks whether the person had medical treatment or other significant impacts from the lymphoma, such as chemotherapy, radiation, surgery, or missed work, which factors into how the lead is scored.
What should we ask leads to upload before the consultation?
Medical or pathology records confirming the lymphoma diagnosis and its date, along with any documentation of Roundup exposure such as employment or property records, so your team isn't starting from zero.
Turn roundup litigation visitors into qualified cases
Give every roundup litigation visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book a consultation.