Report a car accident

First notice of loss with empathy: safety check, what happened in their own words, other driver details and a video of the damage.

Hosted by Sofia, Claims Specialist · 7 questions

Start free

Every question in this form

Sofia asks each of these 7 questions on video. Some answers send people down a different path, shown under the question.

  1. 01

    Is everyone safe?

    Multiple choice

    Sofia says: “First, the most important question. Is everyone safe?”

    • Yes, everyone is okay → Tell us what happened
    • Someone was injured → Did anyone need medical attention?
  2. 02

    Did anyone need medical attention?

    Multiple choice

    Sofia says: “I'm sorry to hear that. Did anyone need medical attention?”

    Yes, emergency services came · Minor, no treatment yet

  3. 03

    Tell us what happened

    Answer by video, voice or text

    Sofia says: “In your own words, walk me through what happened.”

  4. 04

    Was another vehicle involved?

    Multiple choice

    Sofia says: “Was another vehicle involved?”

    • Yes → Other driver's name and plate number
    • No, only my car → Show us the damage
  5. 05

    Other driver's name and plate number

    Short text answer

    Sofia says: “Please add the other driver's name and plate number, if you have them.”

  6. 06

    Show us the damage

    Answer by video, voice or text

    Sofia says: “If you can, record a short video of the damage to your car.”

  7. 07

    How can we reach you?

    Contact details

    Sofia says: “Lastly, how can your claims specialist reach you?”

Sample answers, with the AI summary

These answers come from fictional respondents. Every new account gets them as sample data, so you can see transcripts, summaries and comments before your first real response.

Laura Chen · Tell us what happened

“I was stopped at a red light, and a van rolled into my rear bumper.”

AI summary: Rear-ended by a van while stopped at a red light.

Peter Novak · Tell us what happened

“Black ice this morning. I slid into a lamp post at low speed. Nobody else involved.”

AI summary: Slid into a lamp post due to black ice, damaging the front left side.

More video form demos

See all 11 demo forms
Preview of the Book a product demo video form

B2B SaaS

Qualify demo requests before the call

Preview of the Find your next home video form

Real estate

Turn website visitors into qualified buyers

Preview of the Free growth consultation video form

Marketing agency

Pre-qualify consultation requests by business type, goal and budget

Preview of the Claim your free training session video form

Fitness

Book free trial sessions with context

Want this form in your account? Start free, it is already there.

Ready to transform feedback?

They Won't Type It.
But They'll Show It.

Start collecting real feedback in video. See what your customers actually think and feel.