QualiQlean Online Form
  • QUALIQLEAN ONLINE FORM

    WE ARE FULLY VACCINATED!
  • Reminder: FILL IN WITH HONESTY

    FALSE DECLARATION ONLY LEADS TO INCONVENIENCE
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  • QUALIQLEAN ONLINE FORM

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  • Preferred Date & Time*
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  • Is there an active electricity & water supply?*
  • Is this an after party cleaning?*
  • Is this a post construction cleaning?*
  • Is this an abandoned house?*
  • Any COVID-19 case in the premise?*
  • Any allergies on air fresheners?*
  • Mode of payment*
  • ALA CARTE DEEP CLEANING FORM

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  • Preferred Date & Time*
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  • Need to clean LIVING ROOM?*
  • Need to clean BEDROOM?*
  • Need to clean KITCHEN?*
  • Need to clean TOILET?*
  • Need to do EXTERIOR PREMISE WASH?*
  • Is there an active electricity & water supply?*
  • Is this an after party cleaning?*
  • Is this a post construction cleaning?*
  • Is this an abandoned house?*
  • Any COVID-19 case in the premise?*
  • Any allergies on air fresheners?*
  • Mode of payment*
  • COMMERCIAL SECTOR FORM

    SCHEDULE AN OCULAR INSPECTION WITH QUALIQLEAN CLEANING SERVICES
  • Check Date Availability:*
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  • 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.
  • FLOOR CARE FORM

    WASH & SCRUB
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  • FOR WAX AND SEAL, WE REQUIRE AN OCULAR INSPECTION

  • Preferred Cleaning Date*
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  • Floor Area*
  • 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?*
  • Any Covid case within cleaning site?*
  • Mode of Payment*
  • WINDOW CLEANING FORM

    RATES ARE ONLY FOR ONE SIDE. DOUBLE PRICING FOR IN & OUT CLEANING.
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  • Preferred Cleaning Date*
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  • Any Covid19 case within the requested site?
  • Add ins
  • 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?*
  • Any Covid case within cleaning site?*
  • Mode of Payment*
  • CAR QLEAN FORM

    be calm, relax and car wash
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  • Preferred Date*
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  • Is there an active electricity and water supply?*
  • Any Covid cases within the cleaning site?*
  • Mode of Payment*
  • CARPET CLEANING FORM

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  • Preferred Date*
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  • Is there an active electricity and water supply?*
  • Any Covid cases within the cleaning site?*
  • Mode of Payment*
  • BED AND COUCH CLEANING FORM

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  • Preferred Date*
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  • FOR "L" SHAPED COUCH, THIS IS COUNTED AS "2 SEATER"

    it is elongated, therefore, counted as 2
  • Have you added the pax count for "L" shaped couches correctly?*
  • Is this a Sofa Bed type of couch?*
  • Is there an active electricity and water supply?*
  • Any Covid case within cleaning site?*
  • Mode of Payment*
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