Booking Form
QualiQlean Cleaning Services
WE ARE FULLY VACCINATED!
We care for a quality clean environment
Category
*
Condominium Unit
Apartment Unit
Residential Home
Commercial Sector / Business Firm
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Complete Address
*
Preferred Date & Time
*
/
Month
/
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
AM/PM Option
How many Bed Mattress?
Size of Mattress
Single bed
Double bed
Queen bed
King bed
Send photos of bed mattress
Browse Files
Cancel
of
How many couch / sofa?
Type of material? (couch / sofa)
Upholster
Leather
Type? (couch / sofa)
A regular couch / sofa
Sofa bed
Dining chair
Computer / office chair
Massage chair
Lazy boy
How many people can sit? (For couch/sofa)
Send photos of couch / sofa
Browse Files
Cancel
of
No. of pets
*
When was the last time it was cleaned by a professional?
*
Are there any stains present? (coffee, cutics, paint, mustard, & the likes)
*
Is there an active electricity & water supply?
*
Yes
No
Any COVID-19 case in the premise?
*
Yes
No
Any allergies on air fresheners?
*
Yes
No
Mode of payment
*
BDO
BPI
Others
requests, concerns, expectations, etc.
Submit
Should be Empty: