Know which wheelchair transportation leads are worth pickup time
Every request captures mobility device type, whether the passenger needs transfer assistance, and trip purpose, along with a photo of the device, so dispatch knows the right vehicle and staffing before a driver is assigned.
The exact intake your wheelchair transportation leads complete
This is the real 7-question guided intake for Wheelchair Transportation — the same flow your customers finish before you ever pick up the phone.
What a qualified wheelchair transportation lead should tell you
Scheduled or on-demand transport for passengers who use a wheelchair or other mobility device, requiring an accessible vehicle, transfer assistance, and equipment-specific handling based on trip purpose and pickup location.
- Wheelchair Or Mobility Device
- Purpose This Trip
- This Transportation
- Passenger Remain Seated In
- Passenger Assistance Transferring In
- Pickup And Drop-Off Location
- Anyone Accompany Passenger During
The questions your team needs answered
Every wheelchair transportation intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| What type of wheelchair or mobility device will be used? | The device type determines whether the vehicle needs ramp, lift, or scooter-securement equipment before it's dispatched. |
| What is the purpose of this trip? | Segments the lead so you can route, price, and prioritize it correctly. |
| When do you need this transportation? | Timing carries the highest weights in the catalog, so a Today or recurring answer pushes the lead into same-day or standing-schedule handling. |
| Does the passenger need to remain seated in the wheelchair during transport? | Whether the passenger stays seated in the wheelchair decides if the vehicle needs wheelchair securement points rather than a transfer to a regular seat. |
| Will the passenger need assistance transferring in or out of the vehicle? | A yes answer carries more weight than a no, since it means dispatch needs to assign a driver trained and available for physical transfer assistance. |
| What is the pickup and drop-off location type? | Airport, between-cities, or medical facility answers flag trips that need terminal access, longer routes, or facility check-in coordination. |
| Will anyone accompany the passenger during the trip? | Knowing if a companion is riding along affects how many seats the assigned vehicle needs beyond the wheelchair space. |
How Cliont scores wheelchair transportation leads
Every answer is weighted automatically — no manual review required.
Value signals
- Today
- Within this week
- Within this month
- Ongoing recurring schedule
- Passenger Assistance Transferring In: yes
See the lead your team receives
Wheelchair Transportation Lead
From first click to qualified lead
Follow owners and general contractors 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 project
Smart questions adapt to their project and capture the full scope.
They add photos & plans
Site photos and plans come attached, so you scope before you bid.
You get a ready lead
Scored and qualified — waiting for you to win it.
Built for wheelchair transportation workflows
| Cliont capability | Wheelchair Transportation application |
|---|---|
| Conditional question branching | The mobility device type answer and the remain-seated question together determine whether the lead needs a lift-equipped vehicle or standard seat-transfer setup. |
| Automated lead scoring | Timing answers like Today or Ongoing recurring schedule combine with the transfer-assistance answer to rank same-day and staffed pickups above researching-only enquiries. |
| Photo and document upload widget | Captures a photo of the wheelchair or mobility device before dispatch, so drivers know the equipment they'll be securing without a call-back. |
| CRM routing by trip type | Recurring scheduled transport leads and medical or care facility pickups can be tagged separately from one-off personal errand trips when they land in your CRM. |
Common wheelchair transportation lead scenarios
Same-day medical appointment, needs transfer help
Timing is set to Today and transfer assistance is marked yes, so the intake surfaces this as an urgent, high-value pickup that needs trained staff, not just an accessible vehicle.
Ongoing recurring dialysis-style schedule
Trip purpose is recurring scheduled transport with an ongoing timing selection, letting dispatch treat this as a standing route rather than a one-off booking.
Airport transfer, remains seated in power chair
The passenger stays seated in a power wheelchair for the whole trip, which flags a securement-equipped vehicle rather than one set up for seat transfers.
Personal errand, just researching options
Trip purpose is a personal errand and timing is set to just researching, so this lead is captured and routed without triggering same-day dispatch planning.
Companion riding along to a care facility
Pickup and drop-off is a medical or care facility and someone will accompany the passenger, which affects vehicle capacity and seating the intake flags upfront.
Connect Cliont to your workflow
Send leads
HubSpot, HighLevel, Salesforce, JobNimbus
Book projects
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 passenger transportation intake templates
Wheelchair Transportation lead-intake FAQs
How does the intake know whether we need a lift-equipped vehicle?
The mobility device type question combined with whether the passenger needs to remain seated during transport tells dispatch if the vehicle needs a ramp or lift and wheelchair securement rather than a standard seat transfer.
Can the intake tell the difference between a one-time ride and a recurring schedule?
Yes, the trip timing question includes an ongoing recurring schedule option, so those leads can be routed to your standing-route calendar instead of your same-day dispatch queue.
Does the form capture whether someone is riding along with the passenger?
Yes, the intake asks whether anyone will accompany the passenger, which matters for vehicle capacity and seating before a driver is assigned.
How are medical appointment trips treated differently from personal errands?
Trip purpose is a direct qualifying question, so medical appointments and airport connections can be prioritized differently in your CRM than personal errands or event trips.
What does the intake collect for pickup and drop-off locations?
It captures whether the trip is local, between cities, at an airport or transit terminal, or at a medical or care facility, so dispatch can plan for terminal access or facility check-in requirements.
What photos or documents does the intake ask for?
It collects a photo of the wheelchair or mobility device and, for medical trips, appointment confirmation details, so drivers arrive with the right equipment knowledge before pickup.
Turn wheelchair transportation visitors into qualified projects
Give every wheelchair transportation visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you send an estimator.