Attention evaluation intake that captures duration and setting up
Ask who the evaluation is for, how long attention concerns have shown up, and which settings they affect — then collect school, medical, or prior evaluation records before an intake session gets booked.
The exact intake your attention and focus evaluation leads complete
This is the real 6-question guided intake for Attention and Focus Evaluation — the same flow your customers finish before you ever pick up the phone.
What a qualified attention and focus evaluation lead should tell you
A structured intake for assessing attention, concentration, and focus difficulties in a client, a child or teen, or another family member — gathering how long the concern has been present, which settings it shows up in, and whether prior evaluations or records already exist.
- This Evaluation
- Long Has Attention Or
- In Which Settings Focus
- Prior Evaluation Attention Issues
- Person Available Participate In
- There Any School, Medical,
The questions your team needs answered
Every attention and focus evaluation intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| Who is this evaluation for? | Knowing whether the evaluation is for the client, a child or teen, or another family member determines which history and consent process the practice needs to prepare. |
| How long has attention or focus been a noticeable concern? | How long the concern has been noticeable helps distinguish a longer-standing pattern worth a full evaluation from a recent, possibly situational change. |
| In which settings do focus difficulties show up? | Difficulties showing up across multiple settings versus just one setting point toward a broader attentional pattern rather than a context-specific issue. |
| Has a prior evaluation for attention issues been done before? | A prior evaluation signals the practice may need to request and review earlier findings rather than starting the assessment from scratch. |
| Is the person available to participate in interviews or questionnaires as part of this evaluation? | Availability to participate in interviews or questionnaires affects how the evaluation itself can be structured and scheduled. |
| Are there any school, medical, or work records related to this concern? | Existing school, medical, or work records can shorten the evaluation process and should be requested before the intake session if available. |
How Cliont scores attention and focus evaluation leads
Every answer is weighted automatically — no manual review required.
Value signals
- Less than 1 month
- 1 to 6 months
- More than 6 months
- Not sure
- School or work
- Home
See the lead your team receives
Attention and Focus Evaluation 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 attention and focus evaluation workflows
| Cliont capability | Attention And Focus Evaluation application |
|---|---|
| Conditional branching | Adjusts framing of follow-up questions depending on whether the evaluation is for the client, a child or teen, or another adult family member. |
| Document collection | Prompts for school, medical, or work records tied to the concern so relevant documentation is on file before the intake session is scheduled. |
| Lead scoring | Weighs how long focus difficulties have been noticeable and how many settings they affect to prioritize longer-standing, cross-setting cases for session time. |
| Scheduling flags | Surfaces whether the person can participate in interviews or questionnaires so staff can resolve logistics before holding an intake session slot. |
Common attention and focus evaluation lead scenarios
Child with school-based concerns
A parent submits for a child or teen, marks the concern as present for more than 6 months across school and home, and has report cards ready to share — a strong candidate for an intake session.
Self-referral, unsure timeline
An adult fills out the form for themselves but marks duration and setting as 'Not sure' — the intake still moves forward, flagging the uncertainty for the clinician to clarify during the session rather than screening it out.
Second opinion for a family member
Someone submits on behalf of another adult family member who already had a prior evaluation elsewhere, surfacing that history so staff know to request the earlier findings before booking.
Limited availability for questionnaires
A person indicates they can't participate in interviews or questionnaires as part of the evaluation, which the intake surfaces early so the practice can address logistics before committing a session slot.
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 psychiatry intake templates
Attention and Focus Evaluation lead-intake FAQs
How does the intake handle evaluations submitted on behalf of someone else?
The first question asks whether the evaluation is for the client themselves, their child or teen, or another adult family member, so the rest of the intake and the lead record reflect who's actually being assessed.
What happens if someone hasn't had any prior evaluation or doesn't have records?
The intake asks about prior evaluations and existing school, medical, or work records, but a 'no' or 'none' answer doesn't block the lead — it's simply noted so the practice knows what documentation to request before the intake session.
Does the intake disqualify someone who can't do interviews or questionnaires?
No — availability for interviews or questionnaires carries a lower weight when the answer is no, but it's a scheduling flag, not a disqualifier, so staff can address it directly with the client.
How is the duration of the concern used in scoring?
Longer-standing concerns (more than 6 months) score higher than newer or uncertain timelines, but every duration option still contributes value — the intake is built to surface degree of concern, not filter people out.
Can this intake work alongside our mood disorder or initial psychiatric evaluation forms?
Yes — each subservice, including Initial Psychiatric Evaluation and Mood Disorder Evaluation, uses its own catalog of questions, so a client can be routed to the right intake based on their stated concern.
What documents does the intake collect before the session?
It asks whether school, medical, or work records related to the concern exist, so relevant documentation is flagged and can be requested ahead of the intake session rather than during it.
Turn attention and focus evaluation visitors into qualified patients
Give every attention and focus evaluation visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book front-desk time.