Community contamination intake that captures exposure radius and
Ask every prospective client whether they lived within the site's exposure radius, drank contaminated well water, or already hold agency notices and test results — then route only leads with real evidence to your CRM.
The exact intake your community contamination leads complete
This is the real 7-question guided intake for Community Contamination — the same flow your customers finish before you ever pick up the phone.
What a qualified community contamination lead should tell you
Screens residents, property owners, and workers who believe they were exposed to TENORM released from a nearby industrial site, based on proximity to the site, timing of the release, and documented evidence of contamination or harm.
- Live, Work, Or Own
- Exposure Occur After Waste,
- Have Test Results, Agency
- Have Property Damage, Cleanup
- Been Diagnosed With Condition
- Drink Water From Private
- Radiation Levels Above Background
The questions your team needs answered
Every community contamination intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| Did you live, work, or own property within 5 miles of a site with documented TENORM contamination? | Confirms the prospective client falls within the geographic footprint the firm actually pursues before any other detail is weighed. |
| Did your exposure occur after waste, scale, sludge, or dust from that site was released into the community? | Ties the exposure to a specific release event rather than mere geographic coincidence, which is central to establishing causation. |
| Do you have test results, agency notices, or medical records linking the site to radiation or contamination exposure? | Existing test results, agency notices, or medical records materially shorten the evidence-gathering work needed before intake. |
| Did you have property damage, cleanup costs, evacuation, or loss of property use after the contamination event? | Property damage, cleanup costs, or evacuation establish a concrete, quantifiable harm independent of any health claim. |
| Have you been diagnosed with a condition after the exposure period that a clinician connected to radiation or contaminants? | A clinician-linked diagnosis strengthens the claim but is weighted lower since many valid property or water claims have no health component yet. |
| Did you drink water from a private well or local water system that was later found to contain TENORM-related contamination? | Contaminated well or municipal water is treated as an urgent signal because it points to an ongoing exposure pathway, not just a past event. |
| Were radiation levels above background detected on your land, in your home, or on your belongings after the nearby contamination event? | Above-background readings on the person's own land or belongings provide direct physical evidence of exposure at their specific property. |
How Cliont scores community contamination leads
Every answer is weighted automatically — no manual review required.
Value signals
- Live, Work, Or Own: yes
- Exposure Occur After Waste,: yes
- Have Test Results, Agency: yes
- Have Property Damage, Cleanup: yes
- Been Diagnosed With Condition: yes
- Drink Water From Private: yes
Urgency signals
- Drink Water From Private
See the lead your team receives
Community Contamination 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 community contamination workflows
| Cliont capability | Community Contamination application |
|---|---|
| Weighted lead scoring | Combines proximity to the contamination site, release timing, and existing test results or agency notices into a single score, so a documented release with paperwork outranks an undocumented suspicion. |
| Video or narrative capture | Lets a prospective client describe the release event, the well-water discovery, or the evacuation in their own words alongside the yes/no answers, giving the attorney context before the first call. |
| CRM routing with attachments | Sends leads that already include agency notices, test results, or medical records directly into the CRM with those documents attached, instead of a bare notification. |
| Urgency flagging | Surfaces well-water contamination answers ahead of other submissions in the queue, since that signal is marked urgent in the scoring logic. |
Common community contamination lead scenarios
Well water flagged after the fact
A resident learns their private well or local water system tested positive for TENORM-related contamination well after the exposure occurred. The intake flags this as urgent even before a diagnosis or lab result is attached.
Property damage and evacuation costs
A homeowner near the site incurred cleanup costs or lost use of their property after a documented release. The intake captures the financial harm separately from any health claim.
Diagnosis with a clinical link
A prospective client was diagnosed with a condition after the exposure window and their clinician connected it to radiation or contaminants. This pairs strongly with proximity and release-timing answers to raise the score.
Lives nearby, no documentation yet
Someone within the 5-mile radius suspects exposure but has no test results, agency notices, or medical records. The intake still records this at lower weight rather than turning them away outright.
Above-background readings on their land
A property owner has radiation readings above background on their land or belongings after a nearby release. Combined with agency notices, this pushes the lead toward the top of the queue.
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 tenorm intake templates
Community Contamination lead-intake FAQs
How does the intake tell a real community contamination claim from someone who just heard about the site on the news?
The intake asks whether the prospective client actually lived, worked, or owned property within the 5-mile radius and whether their exposure occurred after a documented release — general awareness of a nearby site without those two answers scores far lower.
Do prospective clients need lab results or agency notices before they can submit?
No. The intake asks whether they have test results, agency notices, or medical records, but a 'no' answer doesn't block submission — it simply weighs less than a 'yes' when the lead is scored.
What if someone hasn't been diagnosed with anything yet?
That's expected for many community contamination leads. The diagnosis question carries a lower weight than proximity, release timing, and documentation, so a claim can still score well on property damage or well-water exposure alone.
Does well-water contamination get treated differently from other exposure routes?
Yes. Well-water exposure is flagged as an urgent signal in the scoring, so leads mentioning a contaminated private well or local water system surface faster than a general proximity claim.
How is this different from the intake for oil and gas field worker exposure?
This intake is built for residents and property owners exposed through community-level release — proximity, water systems, property damage — rather than workplace handling of TENORM materials, which is covered by the field-worker and equipment-related subservices.
Can the intake capture radiation readings taken on someone's own property?
Yes, the catalog includes a specific question on above-background readings detected on the person's land, home, or belongings, which is treated as strong supporting evidence alongside agency documentation.
Turn community contamination visitors into qualified cases
Give every community contamination visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book a consultation.