Qualify more senior mobility and safety leads before the first call
A basic contact form gives you a name, an email, and silence. Cliont greets every visitor with your video, walks them through their visit, collects documents, and hands you a scored, qualified lead.
A custom intake for every senior mobility and safety visit
Each one is a ready-to-embed smart survey tuned to the visit — open any to try the exact experience your leads would complete.
Mobility Equipment Consultation
A consultation service that helps older adults and caregivers evaluate and select appropriate mobility aids such as walkers, wheelchairs, or scooters.
Preview intake →
Medical Alert System
This service provides wearable or home-based medical alert devices that let older adults summon help quickly during a fall or emergency.
Preview intake →
Home Safety Assessment
An in-home evaluation identifying fall risks and safety hazards for older adults, with recommendations to improve mobility and independence at home.
Preview intake →
Aging-in-Place Planning
Guidance for older adults and families planning home modifications and safety strategies to support independent living at home.
Preview intake →
Fall Risk Assessment
An in-home or clinical evaluation that identifies factors contributing to an older adult's risk of falling and suggests safety improvements.
Preview intake →Information you need before every senior mobility and safety visit
- Mobility Equipment Interested In
- Equipment Primarily
- Will Equipment Mainly Be
- Doctor Or Therapist Recommended
- Equipment Needed Immediate Daily
- Person Who Will Make
- This Medical Alert System
- Person Had Fall Or
- Would Device Mainly Be
- Person Have Reliable Phone
How senior mobility and safety lead scoring works
Value signals
- Cane or walker
- Wheelchair
- Mobility scooter
- Lift chair or transfer aid
- Not sure
- Doctor Or Therapist Recommended: yes
Urgency signals
- Immediate daily use
- Person Had Fall Or
- Waterproof for shower use
- Immediately
Your visitor has a real visit. A contact form can’t hear it.
Patients and caregivers arrive ready to explain the visit. Give them a conversation instead of a dead form — and get exactly what you need to win it.
Three empty fields and silence
- No visit details or scope
- No documents or context
- No way to tell a real lead from a tire-kicker
- You chase; most never reply
A guided conversation that converts
- Full visit scope in their own words
- Relevant photos and documents attached
- Every lead scored by value
- High-intent leads flagged for you
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.
From template to routed lead
Cliont handles website intake and qualification; your existing business system remains the source of record after handoff.
Choose the right intake
Start with the industry, service, and visit template that matches the work you want to qualify.
Configure the experience
Add your video greeting, keep the questions you need, and choose which answers affect fit, urgency, and value.
Connect it to your site
Embed the guided intake on the relevant service page and test the complete phone, tablet, and desktop experience.
Route the qualified lead
Send the score, answers, and uploads into your chosen notification, CRM, or calendar workflow for staff follow-up.
Senior Mobility and Safety lead-intake FAQs
What does a senior mobility and safety intake collect?
Each senior mobility and safety template asks job-specific questions drawn from the selected service, then captures contact details and relevant documents. The resulting submission gives the team more context than a name-and-email contact form.
How are senior mobility and safety leads scored?
Cliont weights answers that indicate scope, urgency, fit, and potential value. It sends the score with the visitor's answers so the team can prioritize stronger senior mobility and safety opportunities without manually reviewing every raw submission first.
Can visitors try a senior mobility and safety intake on a phone?
Yes. The guided intake is designed for mobile, tablet, and desktop browsers. Visitors can answer questions and attach the requested files from the device they already have with them.
Where can qualified senior mobility and safety leads be sent?
Cliont can route qualified leads to email, SMS, Slack, common CRM and calendar tools, Zapier, webhooks, or an API workflow. Cliont handles lead intake and qualification; the connected practice or business system remains the source of record after handoff.
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
Browse every senior care intake template
While they’re still using contact forms, you’re booking patients
Give every website visitor a guided, bilingual, qualifying intake — and turn your senior mobility and safety traffic into signed work.