Know which day program transportation leads are worth a care
Ask about mobility assistance level, weekly schedule, and oxygen or equipment needs upfront, so your team knows before a care assessment whether you can safely meet the ride.
The exact intake your transportation to day program leads complete
This is the real 6-question guided intake for Transportation to Day Program — the same flow your customers finish before you ever pick up the phone.
What a qualified transportation to day program lead should tell you
Recurring or scheduled transport that gets a participant safely to and from an adult day program, factoring in the mobility support and any medical equipment needed during the ride.
- Person Already Enrolled In
- Level Mobility Assistance Person
- Many Days Per Week
- This Transportation Service Begin
- Arranging This Transportation Service
- Person Oxygen Or Other
The questions your team needs answered
Every transportation to day program intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| Is the person already enrolled in an adult day program? | Knowing whether the person is already enrolled tells your team if this is a transportation-only need or a combined program-plus-ride inquiry. |
| What level of mobility assistance does the person need to get in and out of a vehicle? | The level of physical assistance required determines whether your existing vehicles and drivers can safely handle the transfer. |
| How many days per week is transportation needed? | Weekly frequency shows whether this is a recurring route to build into your schedule or an occasional ride to slot in as needed. |
| When do you need this transportation service to begin? | The requested start date tells you how quickly your team needs to confirm driver and vehicle availability. |
| Who is arranging this transportation service? | Knowing whether a family caregiver or a professional coordinator submitted the request tells staff who to call back and how much detail to expect from them. |
| Does the person need oxygen or other medical equipment during transport? | A need for oxygen or other medical equipment during transport determines whether a standard vehicle works or specialized transport must be arranged. |
How Cliont scores transportation to day program leads
Every answer is weighted automatically — no manual review required.
Value signals
- Person Already Enrolled In: yes
- No assistance needed
- Standby support only
- Hands-on physical assistance
- Uses a wheelchair or scooter
- Not sure
Urgency signals
- Immediately
See the lead your team receives
Transportation to Day Program 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 transportation to day program workflows
| Cliont capability | Transportation To Day Program application |
|---|---|
| Weighted Lead Scoring | Mobility assistance answers each carry their own weight, so a hands-on-assistance or wheelchair request is distinguished from a standby-only rider before staff ever open the lead. |
| Structured Scheduling Capture | Days-per-week and start-date answers combine so a five-day recurring request starting immediately is treated differently from a varying schedule someone is still exploring. |
| Equipment Flagging | A yes answer on oxygen or medical equipment during transport can flag the lead for a specially equipped vehicle before any assessment is scheduled. |
| Requester Identification | Capturing whether a family caregiver, the person themselves, or a professional coordinator submitted the request lets staff tailor the callback and set expectations correctly. |
Common transportation to day program lead scenarios
Already enrolled, needs a ride
Person is already in an adult day program and only needs standby-support transport, so the intake routes this as a straightforward recurring pickup rather than a full program inquiry.
Wheelchair rider, five days weekly
Wheelchair or scooter use combined with five-plus days per week signals a heavier vehicle and staffing commitment, so this lead is flagged differently from a standby-only rider.
Family caregiver, immediate start
A family caregiver arranging transport for someone not yet enrolled and needing service to begin immediately puts pressure on scheduling before any assessment is booked.
Coordinator exploring, schedule varies
A professional care coordinator submitting on behalf of a client who is 'just exploring options' with a varying schedule reads as lower urgency, letting staff prioritize accordingly.
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 adult day services intake templates
Transportation to Day Program lead-intake FAQs
How does the intake account for different levels of mobility assistance?
The form asks whether the person needs no assistance, standby support, hands-on physical help, or uses a wheelchair or scooter, so your team can see upfront whether a standard vehicle or specialized equipment is required.
Does the intake flag when medical equipment like oxygen is involved?
Yes, families are asked directly whether oxygen or other medical equipment is needed during transport, which affects whether the request requires a specially equipped vehicle.
How does the requested start date affect how a lead is prioritized?
Start-date answers range from immediately to just exploring options, and this is scored so requests needing service right away surface differently from those still in the research phase.
Can the intake tell if someone is already enrolled in a day program?
Yes, the first question asks whether the person is already enrolled, which helps your team distinguish transportation-only requests from families still shopping for a program.
How does the form capture how often transportation is needed?
Families select a weekly frequency ranging from one to two days up to five or more, or note that the schedule varies, so recurring routes can be distinguished from occasional rides.
Does the intake show who is actually submitting the request?
Yes, it asks whether the request comes from the person needing the ride, a family caregiver, a professional care coordinator, or someone else, so staff know who to follow up with.
Turn transportation to day program visitors into qualified patients
Give every transportation to day program visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book front-desk time.