QUALIQLEAN ONLINE FORM
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Category
*
Residential Home
Condominium Unit
Commercial Sector / Business Firm
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Select Cleaning Service
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WEEKLY (4 days) Housekeeping
BI-WEEKLY (8 days)
BI-MONTHLY (2 days in a month)
Deep Cleaning (detailed cleaning)
Post Construction Cleaning
Clean my Abandoned House
Floor Care
Ala Carte Deep Cleaning
Car Qlean
Bed and Couch Cleaning
Window Cleaning
Carpet Cleaning
Hospital Grade Disinfection Service (covid premise)
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QUALIQLEAN ONLINE FORM
Name
*
First Name
Last Name
Email
*
myemail@letusqualiqlean.com
Complete Address
*
input with postal code
Mobile Number
*
enter mobile (+63)
Preferred Date & Time
*
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Minutes
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AM/PM Option
Est. SQM
*
Number of floor level/s
*
If you have more than one floor levels, how many SQM will be the 2nd, 3rd level and so on?
*
Input in bullet form: 2nd @ 000.00SQM, 3rd @ 000.00SQM and so on...
No. of bedrooms
*
No. of toilets
No. of kitchens
No. of living rooms
Est. no. of windows
No. of terrace or balcony
No. of garage
No. of vehicles can fit in garage
No. of vehicles can fit in garage
No. of kids in the premise
No. of pets
When was the last time you cleaned the house / premise from ceiling to floor and left to right?
*
Is there an active electricity & water supply?
*
Yes
No
Is this an after party cleaning?
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Yes
No
Is this a post construction cleaning?
*
Yes
No
Is this an abandoned house?
*
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
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ALA CARTE DEEP CLEANING FORM
Name
*
First Name
Last Name
Email
*
myemail@letusqualiqlean.com
Complete Address
*
input with postal code
Mobile Number
*
enter mobile (+63)
Preferred Date & Time
*
 /
Month
 /
Day
Year
Date
1
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Hour
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59
Minutes
AM
PM
AM/PM Option
Need to clean LIVING ROOM?
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Yes
No
No. of living room
Need to clean BEDROOM?
*
Yes
No
No. of bedroom
Need to clean KITCHEN?
*
Yes
No
No. of kitchen
Need to clean TOILET?
*
Yes
No
No. of toilet
Need to do EXTERIOR PREMISE WASH?
*
Yes
No
Est SQM exterior to wash
When was the last time you cleaned the area from ceiling to floor and left to right?
*
Is there an active electricity & water supply?
*
Yes
No
Is this an after party cleaning?
*
Yes
No
Is this a post construction cleaning?
*
Yes
No
Is this an abandoned house?
*
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
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COMMERCIAL SECTOR FORM
SCHEDULE AN OCULAR INSPECTION WITH QUALIQLEAN CLEANING SERVICES
Name of Company
*
Contact Person
*
First Name
Last Name
Contact Number of Company
*
enter area code first ex: (02)
Mobile Number of Contact Person
*
enter mobile number (+63)
Email of Company
*
mycompany@company.com
Email of Contact Person
*
contactperson@company.com
Check Date Availability:
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Month
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Day
Year
Date
Check Time Availability:
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40
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Minutes
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PM
AM/PM Option
Cleaning Site Address
*
complete address including postal code
What kind of establishment are we looking at?
Office
Mall
Factory
General Warehouse
Logistics Warehouse
Parcel Warehouse
Fitness Gym
Store / Grocery
Shop
Hotel / Resort
Hospital / Clinic
School
Others
give us an idea
Note:
Ocular Inspection is required to better understand the cleaning requirements of the establishment. QualiQlean do not provide total service amounts on the spot. Quotations and other concerns will be communicated via email.
Submit
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FLOOR CARE FORM
WASH & SCRUB
FOR WAX AND SEAL, WE REQUIRE AN OCULAR INSPECTION
Type of Floor Care Service
*
WASH AND SCRUB
WAX AND SEAL
Name
*
First Name
Last Name
Email
*
thisisme@email.com
Mobile Number
*
enter mobile (+63)
Cleaning Site Address
*
input with postal code
Preferred Cleaning Date
*
 -
Month
 -
Day
Year
Date
Preferred Time
*
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Minutes
AM
PM
AM/PM Option
Floor Area
*
Toilet
Kitchen
Laundry
Terrace
Garage
All Exterior Floor
Others (input under "others" fill in to better understand)
Enter total "SQM" of all areas selected
*
Tell about the floor material
example: it is ceramic, a clay, a stone, a granite & etc.
Others
concerns (allergens & etc.), requests and additional requirements
NOTE: FURNITURE OR FIXTURES BLOCKING THE WAY OF OUR MACHINE WILL BE AVOIDED. HENCE, NOT CLEANING THE SURFACES WITHIN THE BLOCKED SURFACE AREA
Is there an active electricity and water supply?
*
Yes
No
Any Covid case within cleaning site?
*
Yes
No
Mode of Payment
*
BDO
BPI
Submit
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WINDOW CLEANING FORM
RATES ARE ONLY FOR ONE SIDE. DOUBLE PRICING FOR IN & OUT CLEANING.
Name
*
First Name
Last Name
Email
*
thisisme@cleanwindow.com
Mobile Number
*
enter mobile (+63)
Cleaning Site Address
*
input with postal code
Preferred Cleaning Date
*
 -
Month
 -
Day
Year
Date
Preferred Time
*
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Minutes
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PM
AM/PM Option
Type of Window
*
Single Hung Window
Double Hung Window
Casement Window
Geometric Shape
Awning/Sliding
Double Sliding
Bays and Bows Window
Rectangular Door Type
Sliding Windows
Swinging Windows
All Types
No. of Single Hung Window
how many?
No. of Double Hung Window
how many?
No. of Casement Window
how many?
No. of Geometric Shape Window
how many?
No. of Awning / Sliding Window
how many?
No. of Double Sliding Window
how many?
No. of Bays and Bows Window
how many?
No. of Rectangular Door Window
how many?
No. of Sliding Window
how many?
No. of Swinging Window
how many?
Type of Window Glass
*
TINTED GLASS
STANDARD WINDOW GLASS
FIBER GLASS
TEMPERED GLASS
MIRRORED GLASS
LAMINATED GLASS
I AM NOT SURE
IT IS A BIT OF A MIX
Any Covid19 case within the requested site?
Yes
No
Add ins
Clean Window Screens (small) @ P200 each
Clean Window Screens (medium to large) @ P350 each
Clean Window Blinds (small) @ P300 each
Clean Window Blinds (medium to large) @ P450 each
How many Small Window Screens?
How many Medium to Large Window Screens?
How many Small Window Blinds?
How many Medium to Large Window Blinds?
Others
concerns (allergens & etc.), requests and additional requirements
NOTE: FURNITURE OR FIXTURES BLOCKING THE WAY OF OUR MACHINE WILL BE AVOIDED. HENCE, NOT CLEANING THE SURFACES WITHIN THE BLOCKED SURFACE AREA
Is there an active electricity and water supply?
*
Yes
No
Any Covid case within cleaning site?
*
Yes
No
Mode of Payment
*
BDO
BPI
Submit
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CAR QLEAN FORM
be calm, relax and car wash
Name
*
First Name
Last Name
Email
*
myname@qualiqleanit.com
Mobile Number
*
enter mobile (+63)
Cleaning Site Address
*
input with postal code
Preferred Date
*
 -
Month
 -
Day
Year
Date
Preferred Time
*
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Hour
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40
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Minutes
AM
PM
AM/PM Option
Type of Vehicle
*
7 Seater and below
Large vehicle
Type of Service
*
Basic Qlean
New U (shampooing interior)
How many vehicles to clean?
How many large vehicles to clean?
How many people can sit if large vehicle?
Is there an active electricity and water supply?
*
Yes
No
Any Covid cases within the cleaning site?
*
Yes
No
Others
concerns (allergens & etc.), requests and additional requirements
Mode of Payment
*
BDO
BPI
Submit
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CARPET CLEANING FORM
Name
*
First Name
Last Name
Email
*
myname@qualiqleanit.com
Mobile Number
*
enter mobile (+63)
Cleaning Site Address
*
input with postal code
Preferred Date
*
 -
Month
 -
Day
Year
Date
Preferred Time
*
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Hour
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Minutes
AM
PM
AM/PM Option
How many carpets to clean?
*
Length (meters)
*
Width (meters)
*
Height (meters)
*
if more carpets to clean, please input the L,W,H per piece
input in bullets (meter units)
Others
concerns (allergens & etc.), requests and additional requirements
Is there an active electricity and water supply?
*
Yes
No
Any Covid cases within the cleaning site?
*
Yes
No
Mode of Payment
*
BDO
BPI
Submit
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BED AND COUCH CLEANING FORM
Name
*
First Name
Last Name
Email
*
myname@qualiqleanit.com
Mobile Number
*
enter mobile (+63)
Cleaning Site Address
*
input with postal code
Preferred Date
*
 -
Month
 -
Day
Year
Date
Preferred Time
*
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Hour
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Minutes
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PM
AM/PM Option
What Service?
*
Bed Cleaning
Couch Cleaning
How many Single Beds?
*
How many Twin / Double Beds?
*
How many Queen Beds?
*
How many King Beds?
*
How many couches to clean?
*
How many total seater (people can sit) of those couches?
*
FOR "L" SHAPED COUCH, THIS IS COUNTED AS "2 SEATER"
it is elongated, therefore, counted as 2
How many total seater of the La-z Boy to clean?
*
type in special instructions at "OTHERS" fill in
Have you added the pax count for "L" shaped couches correctly?
*
Yes
No
I do not have an "L" shape couch
Is this a Sofa Bed type of couch?
*
Yes
No
if it yes, how many sofa bed are there?
Any stains present?
*
example: coffee, paint, ink, ketchup, blood, mustard and the likes
Others
concerns (allergens & etc.), requests and additional requirements
Is there an active electricity and water supply?
*
Yes
No
Any Covid case within cleaning site?
*
Yes
No
Mode of Payment
*
BDO
BPI
Submit
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