Q 01
Which treatment are you most interested in?
The biggest single scoring factor. Also determines the nurture sequence and setter script. Never run a form without this question.
Implants +6Invisalign +5Bonding +4Whitening +2
Q 02
When are you hoping to start treatment?
Timeline is the most predictive signal for show rate. ASAP patients convert at dramatically higher rates than "just exploring."
ASAP +4Few months +2Just exploring −3
Q 03
What's your postcode?
Distance scoring. Framed as "so we can confirm our closest location." Feeds directly into GHL (GoHighLevel — the CRM automation platform) and auto-scores distance.
Under 5mi +45–10mi +210–15mi +115mi+ −2
Q 04
Have you had a consultation before about this treatment?
Previously consulted elsewhere = further along the journey. They need differentiation, not education. Flag for senior setter and "why us" script.
Yes, elsewhere +3First time +1
Q 05
Is there anything holding you back?
Open text. Surfaces objections before the call. Finance = high intent with a solvable barrier. "Need to think" = needs urgency framing.
Finance concern +2Anxiety +1"Just browsing" −2
Q 06
Best time to call you?
A patient who specifies a callback time is more committed than one who doesn't. Also prevents wasted calls at inconvenient times.
Specific time +1No preference +0