Miah Connect — Lead Self-Intake (premium redesign)
What a prospect sees after scanning a QR or opening a capture link. Email-first, consent anchored to each field, progressive rich capture, reciprocal vCard close. Every panel is the same mobile screen at a different moment in the flow — scroll through left to right.
coral #C84D3E = primary actionteal #2dd4bf = enrichment / trustidentical yes/no on email + SMSSMS fine-print reveals at the phone fieldphone +1 fixed · auto-(XXX) XXX-XXXXmanual entry always available
1Entry — email firsttype email → quiet look-up
DAN RIOS · MIAH
Combine 2026
Let's keep this going.
Your email is all I need — I'll send today's session resources straight over. Twenty seconds, tops.
checking my notes…
Email is the only field to start — lowest-friction entry. On blur, a synchronous enrichment look-up fires (token-scoped, rate-limited). The "type it in yourself" escape is present from the first screen — enrichment is an enhancement, never a gate. CTA is pinned to the thumb zone, not floating mid-scroll.
2Confirm + consent at the fieldsopt-in lives with the field
DAN RIOS · MIAH
Combine 2026
Here's what I've got.
Pulled from public business records to save you typing. Change anything that's off — you're in control of every line.
JW
Jane Webb
VP Player Operations · Tennessee Titans
✓ Prefilled
Titanstitans.com~250 pplPro SportsNashville, TN
From public business data · only used to fill this form, nothing more
◉Want session resources and the occasional follow-up by email?
Marketing emails from Dan Rios at Miah. No spam · unsubscribe any time.
🇺🇸+1
◉Want a text if something's time-sensitive?
By tapping Yes you agree Dan Rios at Miah may text this number. Message & data rates may apply · message frequency varies · reply STOP to opt out, HELP for help. Consent isn't a condition of anything.
·Choose yes or no on email above.Add a phone above to choose about texts.Change either any time.
Consent is field-anchored — and consistent: both channels use the identical Yes / No pattern. Email's choice sits under the email field (always visible, since email is required); typing a phone number dynamically reveals the TCPA/A2P disclosure + the same explicit Yes / No right there. No pre-checking — a deliberate choice per channel. The end-of-form line is a recap, not the capture. Disclosure text is stored verbatim on the immutable consent record.
2bFallback — manualsame field-anchored consent
DAN RIOS · MIAH
Combine 2026
A couple quick details.
Nothing came up automatically — no problem at all. Just the basics and you're done.
◉Want session resources and the occasional follow-up by email?
Marketing emails from Dan Rios at Miah. No spam · unsubscribe any time.
🇺🇸+1
◉Want a text if something's time-sensitive?
By tapping Yes you agree Dan Rios at Miah may text this number. Message & data rates may apply · message frequency varies · reply STOP to opt out, HELP for help. Consent isn't a condition of anything.
The identical form, typed not pre-filled — and the same field-anchored consent: the same Yes / No on both email and SMS, dynamic SMS disclosure under phone, the +1 affix fixed on the phone field. Reached on a look-up miss, when enrichment is off, or when the lead taps "type it in yourself." One form, two paths, never a dead end.
3Rich capture — optionaltappable · skippable
DAN RIOS · MIAH
Combine 2026
Anything to add?
All optional — these just help Dan remember the conversation. Skip straight to done whenever you like.
📷🖼
Add a photo
Take one now or choose from your library
✓ Added
🎙
Record a voice note
Tap to record — we'll ask to use your mic · up to 30s
Recording…
0:12
✍️
Leave a note
Anything you want Dan to know
Add
Only surfaces after the identity + consent fields are answered. Each card is premium + tappable + independently skippable. Photo/voice/text upload to R2 before submit. Voice recording pulses coral while live (≤30s, async-transcribed).
4Thank-you + vCardwarm close · reciprocal
DAN RIOS · MIAH
Combine 2026
✓
Thanks, Jane.
You're all set. Today's resources are on their way to jane@titans.com.
DR
Dan Rios
Founder · Miah · miah.ai
Here's my card too — so the exchange goes both ways.
⚙
Yours to manage, any time
Update your details or change what Dan sends — your private link is on the way.
Soon
Warm, named success ("Thanks, Jane."). The reciprocal Save Dan to your contacts is the pinned dock action and serves a .vcf — iOS/Android offer the native "Add to Contacts" sheet, no app. The exchange closes both ways.
5Preference-center seeda COMING affordance, not a screen
DAN RIOS · MIAH
Combine 2026
One more thing.
This is a seed, not a built screen — post-launch, a per-contact link reopens this surface so the lead keeps their own record current.
⚙
Manage your preferences anytime
Update info · manage email/SMS opt-ins · pick what interests you
Soon
✦
Pick your interests
Choose the topics Dan should send you
Soon
⏻
Opt out anytime
Audited consent state — TCPA / CAN-SPAM compliant
Soon
Per connect-surface-topology-and-links.md: three wins — compliance (audited opt-in state), data quality (lead keeps their own record current), engagement (lead is an active participant). Designed-for now via a stable per-contact link + a consent/preferences sub-model on the node; the portal itself ships post-launch.
On the thank-you page this is just the single dashed "Soon" hint (panel 4). This panel breaks out the full intent so the data model anticipates a returnable self-service surface — without building it now.