QuizQualifyLead Qualification
Healthcare · Lead Form
Lead FormAODr. Amara Osei · Private Practice Director

Healthcare Symptom Screener

Help patients identify the right specialist or service for their needs — and capture the lead before they search elsewhere.

7 Questions

pre-built and weighted

3 min to complete

average completion time

HOT / WARM / COLD

routing included

889 times used

by Dr. Amara Osei

Sample Questions

What your leads will answer

1

Which area are your symptoms affecting?

Routes to the appropriate specialist type

2

How long have you been experiencing this?

Duration is a key urgency signal

3

How much is this affecting your daily life?

Impact severity determines HOT/WARM/COLD routing

+ 4 more questions included in the full template.

Scoring Logic

How scoring works

Symptom severity (50%) and duration (30%) and impact on daily life (20%) determine routing urgency.

HOT

Needs prompt attention

Book an urgent consultation

  • Same-week appointment available
  • Seen by a specialist — not a PA
  • Full assessment with written notes provided

Urgent slots are held for same-week booking

Private consultation · Fully confidential · No GP referral needed

WARM

Schedule a check-up

Book a routine appointment

COLD

Monitor and self-care

Download our health guide

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