What types of personal injury cases are you most focused on handling?

(Select all that apply)

Auto Accidents

Slip & Falls / Premises Liability

Medical Malpractice

Workplace Injuries

Product Liability

Other

How many new personal injury cases are you looking to sign per month?

(Choose one)

5-10 cases per month

10-20 cases per month

20-50 cases per month

50+ cases per month

What geographic areas or states do you want to target?

(Choose one or multiple options)

Local (within one city or county)

Statewide (covering an entire state)

Regional (multiple neighboring states)

Nationwide (cases from all over the country)

What is your typical process for converting leads into clients?

(Choose one that best applies)

My team contacts leads within minutes of receiving them

We follow up with leads within a few hours

We use automated text/email follow-ups before calling

We prefer pre-scheduled consultations with interested clients

Contact information (Required)

*

(Choose one or multiple options)

Email: *

Phone *

By clicking "Submit", submitting this form, you consent to the processing of your personal data in accordance with our Privacy Policy. By providing my phone number, I agree to receive text messages. Opt-out of SMS by texting "STOP". Message and data rates may apply.

NEXT