General Fall & Spring House Cleaning Form

General Fall Spring House Cleaning Form
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Site Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Square Footage of Residence
What would you like to be done?*
Please select
Is the house empty or furnished?*
What is the level of soiling? (1 being the lightest soil, 10 being heavy soiling)
Please note any additional information
Are there any high ceilings?

YesNo
Any special conditions (odor, urine, nicotine, mold)?
Please check all rooms that apply.

KitchenPantryDining RoomLiving RoomStudyFamily RoomDenTV RoomOfficelaundry RoomMudroomBath-FullBath-HalfStairwaysHallsMaster Bedroom2nd Bedroom3rd Bedroom4th Bedroom5th BedroomWalk-In ClosetRegular Closet
Other Roooms?
Basement*
Garage
Attic
Loft

YesNo
Please give the specifics on the following:
Clean Stove
Clean Refrigerator
Area Rugs
Blinds, Shades
Cabinets
Ceiling Fans - How Many?
Ceilings
Dusting
Hard Surface Floors
Type of heat if you want it cleaned?
Would you like horizontal surfaces clean?

YesNo
Lights
Trash Removal - How many bags? Is a dumpster needed? Does not apply?
Upholstery
Trim and Woodwork
Windows (Inside Only) - How Many?
Walls
Other
Carpet Cleaning: Room Sizes
Upholstery: Type and Number
Area Rugs: Type and Sizes
Blinds, Shades: Type and Number
Please verify that you are human*
Should be Empty:

General Fall Spring House Cleaning Form