Divorce support intake that captures custody conflict up front
Our intake asks where clients are in the separation or divorce process, what support they need most, and whether custody or legal conflict is involved, so you see the full picture, including any custody documents shared, before offering an intake session.
The exact intake your separation and divorce support leads complete
This is the real 6-question guided intake for Separation and Divorce Support — the same flow your customers finish before you ever pick up the phone.
What a qualified separation and divorce support lead should tell you
Therapeutic support for individuals, couples, co-parents, or families working through the emotional, communication, and logistical strain of separating or divorcing, including cases where custody or legal conflict is active.
- Seeking Support At This
- Best Describes Current Stage
- Main Focus Want Support
- Children Involved In This
- All Involved Adults Willing
- There Any Current Legal
The questions your team needs answered
Every separation and divorce support intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| Who is seeking support at this time? | Distinguishes an individual, couple, or family case from co-parents not seeking couples work, which changes what kind of session should be booked. |
| What best describes your current stage in the separation or divorce process? | Currently separating or divorcing and recently finalized carry the highest weights, since clients in active transition typically need the intake session sooner. |
| What is the main focus you want support with? | Helping children adjust and co-parenting communication carry the highest focus weights, flagging cases that likely need whole-family coordination. |
| Are children involved in this situation? | Confirms whether child-specific needs and custody logistics have to be addressed alongside the adults' own concerns. |
| Are all involved adults willing to participate in sessions if needed? | A 'no' from one adult signals the first session may need to start with partial participation, which changes how you prepare. |
| Is there any current legal conflict, such as a custody or divorce dispute, affecting this situation? | Surfaces active legal conflict so you can plan around, or coordinate with, any court requirements before the intake session. |
How Cliont scores separation and divorce support leads
Every answer is weighted automatically — no manual review required.
Value signals
- Considering separation
- Currently separating or divorcing
- Recently finalized
- Finalized long ago, new issues arising
- Coping with emotional impact
- Co-parenting communication
See the lead your team receives
Separation and Divorce Support 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 separation and divorce support workflows
| Cliont capability | Separation And Divorce Support application |
|---|---|
| Conditional branching | Surfaces the legal conflict question only when relevant and adjusts follow-up based on whether children are involved, so a co-parent-only case isn't asked couples-specific questions. |
| Lead scoring | Weights process-stage answers like 'currently separating or divorcing' and focus areas like coping with emotional impact and co-parenting communication highest, so active-transition families surface above long-settled ones. |
| Document upload | Lets clients attach a custody agreement or other legal document when they've flagged active legal conflict, so you have context before the intake session. |
| CRM routing | Sends the 'who is seeking support' answer, individual, couple, family, or co-parents, straight to your CRM so leads are matched to the right therapist and session format. |
| Video intake widget | Gives clients space to explain their separation stage and main focus in their own words before you decide whether to hold an intake session slot. |
Common separation and divorce support lead scenarios
Couple still deciding whether to separate
Both partners are considering separation and want help deciding, so the intake flags the 'deciding whether to separate' focus area and both adults' willingness to attend.
Co-parents in active custody dispute
Two co-parents are not seeking couples work but flag current legal conflict over custody, prompting a different intake path than a couple looking to reconcile.
Family focused on kids' adjustment
A parent books on behalf of the family with children present, selecting 'helping children adjust' as the main focus, which routes differently than an individual-only request.
Individual rebuilding after finalized divorce
One person reaches out well after finalizing, selecting 'rebuilding life after divorce' as the focus, distinct from clients still mid-process.
One partner unwilling to attend
A client answers 'no' when asked if all adults are willing to participate, letting you plan the first session around partial engagement instead of assuming both will show.
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 couples and family therapy intake templates
Separation and Divorce Support lead-intake FAQs
How does the intake handle it if only one parent or partner is willing to participate?
The intake captures whether all involved adults are willing to attend sessions. A 'no' answer doesn't disqualify the lead, it flags that you may need to plan around one-sided engagement before booking.
Does the intake ask about active legal conflict, like a custody dispute?
Yes, the intake directly asks whether current legal conflict such as a custody or divorce dispute is affecting the situation, which lets you prepare or coordinate with any attorneys involved before the first session.
Can the intake tell the difference between a couple and co-parents who aren't doing couples work?
Yes, the first question distinguishes an individual, a couple, a family with children, and co-parents not seeking couples work, so you don't mistakenly prep a couples-focused session for a co-parenting case.
What happens when children are part of the situation?
The intake confirms whether children are involved and lets clients select 'helping children adjust' as a focus area, so you know upfront whether the session needs to address child-specific concerns.
How does the client's stage in the separation or divorce process affect how the lead is scored?
Currently separating or divorcing and recently finalized carry the highest weight, since those clients are typically navigating the most active transition, while long-finalized cases with new issues score slightly lower but still qualify.
How is this different from your couples counseling or family therapy intake?
This intake adds fields specific to separation and divorce, like process stage and legal conflict, that aren't part of the couples counseling or family therapy intakes, so leads are routed based on where they actually are in the split.
Turn separation and divorce support visitors into qualified patients
Give every separation and divorce support visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book front-desk time.