Turn IBS enquiries into appointment-ready leads
Patients answer questions about diagnosis history, current symptom pattern, and how long symptoms have lasted, while red-flag signs like blood in stool or unexplained weight loss are flagged before any appointment is booked. Symptom logs and prior test results arrive with each lead so your team can triage without a back-and-forth call.
The exact intake your irritable bowel syndrome leads complete
This is the real 5-question guided intake for Irritable Bowel Syndrome — the same flow your customers finish before you ever pick up the phone.
What a qualified irritable bowel syndrome lead should tell you
Intake for patients with diagnosed or suspected irritable bowel syndrome, capturing diagnosis status, current symptom pattern, symptom duration, red-flag warning signs, and prior treatment history so the practice can determine the right next step before scheduling.
- Been Diagnosed With Ibs
- Symptoms Experiencing
- Long Have Had These
- Noticed Blood In Stool
- Current Approach Managing Ibs
The questions your team needs answered
Every irritable bowel syndrome intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| Have you been diagnosed with IBS by a healthcare provider? | Confirms whether the patient already has a diagnosis or needs an initial workup, which affects what kind of appointment is appropriate. |
| Which symptoms are you currently experiencing? | The alternating diarrhea and constipation option carries the highest symptom weight, reflecting a more complex presentation than a single isolated symptom. |
| How long have you had these symptoms? | Separates recent-onset symptoms from cases that have persisted for months, giving staff context before they reach out. |
| Have you noticed blood in your stool or unexplained weight loss? | A yes answer here is weighted highest in the entire catalog, marking a response that warrants clinical review rather than a routine booking. |
| What is your current approach to managing your IBS symptoms? | Shows whether the patient has already exhausted treatment options, helping staff decide between a first-line visit and a specialist follow-up. |
How Cliont scores irritable bowel syndrome leads
Every answer is weighted automatically — no manual review required.
Value signals
- Been Diagnosed With Ibs: yes
- Abdominal pain or cramping
- Bloating or gas
- Diarrhea
- Constipation
- Alternating diarrhea and constipation
See the lead your team receives
IBS Lead
From first click to qualified lead
Follow patients and caregivers 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 visit
Smart questions adapt to their visit and capture the full scope.
They share details
Symptoms, history, and documents come attached before the visit.
You get a ready lead
Scored and qualified — waiting for you to win it.
Built for irritable bowel syndrome workflows
| Cliont capability | Irritable Bowel Syndrome application |
|---|---|
| Conditional flagging | A yes answer on blood in stool or unexplained weight loss is captured as a distinct field so it can be surfaced to clinical staff separately from routine IBS enquiries. |
| Multi-select scoring | The symptom checklist weighs combinations like alternating diarrhea and constipation higher than a single symptom, reflecting the more complex IBS-mixed presentation. |
| Treatment history capture | Recording whether a patient has tried diet changes, over-the-counter options, prescriptions, or multiple approaches lets staff see if this is a first-line visit or an escalation before the appointment is confirmed. |
| Duration-based context | Symptom duration answers give the practice a way to distinguish recent-onset cases from patients who have lived with symptoms for over six months, without a separate intake call. |
Common irritable bowel syndrome lead scenarios
Diagnosed patient, worsening pattern
Already diagnosed, reporting alternating diarrhea and constipation for over six months with no treatment tried yet — scores as a strong fit for a management appointment.
Undiagnosed patient with red-flag signs
No prior diagnosis but answers yes to blood in stool or unexplained weight loss, which the intake flags for clinical review rather than routing straight to a standard IBS slot.
Treatment-resistant case seeking second opinion
Diagnosed years ago, has tried multiple approaches, and still has active symptoms — signals a patient who may need a specialist visit rather than a first-line consult.
New, mild, undiagnosed symptoms
Symptoms started less than a month ago, only bloating selected, and no treatment tried — a lower-certainty case the intake still captures but with a different symptom profile than chronic cases.
Connect Cliont to your workflow
Send leads
HubSpot, HighLevel, Salesforce, JobNimbus
Book visits
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 gastroenterology intake templates
Irritable Bowel Syndrome lead-intake FAQs
How does the intake handle patients who report blood in their stool or weight loss?
That question is a separate yes/no field in the catalog, and a yes answer carries the highest weight in the form. It's designed to surface those responses distinctly so staff can review them before a routine IBS slot is offered.
Does the form distinguish between diagnosed and undiagnosed patients?
Yes — the intake asks directly whether a healthcare provider has diagnosed IBS, and that answer feeds into how the lead is scored and what appointment type it's routed toward.
What happens if a patient selects 'no current symptoms'?
That option carries the lowest weight of the symptom choices, so leads selecting it score differently than those reporting active abdominal pain, bloating, or bowel pattern changes.
Does the intake ask what a patient has already tried before booking?
Yes, one question covers current management approach, from no treatment yet to multiple approaches tried, which helps your team see if the patient needs a first visit or a follow-up on an existing plan.
Can this same intake be used for related conditions like abdominal pain or digestive symptoms?
Each subservice — including Abdominal Pain and Digestive Symptoms — has its own qualification catalog, so IBS leads are scored on IBS-specific questions rather than a generic digestive intake.
How does symptom duration affect how a lead is prioritized?
The intake records whether symptoms have lasted less than a month, up to six months, or longer, giving your staff a way to separate new-onset cases from long-standing ones without asking again on the phone.
Turn irritable bowel syndrome visitors into qualified patients
Give every irritable bowel syndrome visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book front-desk time.