Deep Cleaning Quote Request Form

Deep Cleaning

Quote Request Form
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *
E-mail *
example@example.com
What is the nature of your residence? *

Apartment/Flat House Townhouse
Which floor is the apartment on?
Is there lift access?

Yes No
Is your residence furnished? *

Yes No
How would you describe your furnishing style?

Cluttered Minimalistic Well furnished
Are your stairs tiled or carpeted?

Tiled Carpeted
House size in m2
Does your home have stairs? *

Yes No
Do you have an oven that needs to be cleaned? *

Yes No
What type of oven do you have?

Single Double
How many bedrooms do you have in your home? *
What sizes are the rooms?

Small Medium Large Varies
How many bathrooms do you need cleaned? *
Do you have mold you want removed? *

Yes No
What types of bathrooms? *

Full Bath only Shower only Toilet
Must the windows be cleaned? *

Yes No
How many windows do you have in your home? *
Are there glass doors that need to be cleaned? *

Yes No
How many glass doors do you have in your home? *
Must the carpets be cleaned? *

Yes No
How many carpets do you have in your home? *
Are any outside buildings that must be cleaned? *

Yes No
Do you have a garage that needs to be cleaned? *

Yes No
What type of garage do you have?

Single Double
Do you have any entertainment area that needs to be cleaned? *

Yes No
How many entertainment areas do you have?
Do you have any blinds that needs to be cleaned? *

Yes No
How many blinds do you have?
Do you have any chandeliers that needs to be cleaned? *

Yes No
How many chandeliers do you have?
Do you have any light fittings that needs to be cleaned? *

Yes No
How many light fittings do you have?
Do you want us to clean any upholstery? *

Yes No
What upholstery do you want us to clean?

Sofa Sectionals Sleeper Sofas Accent Chairs Loveseats Recliners Swivels & Gliders Chair Ottomans Mattresses Other
Do we need to unpack and pack cupboards for cleaning?

Yes No

How many cupboards need cleaning?

	Amount
Kitchen Cupboards
Bathroom cabinets
Bedroom cupboards

Do the contents of the cupboards needs to be washed?

Yes No
What type of items need to be washed?

Cutlery Crockery Linen Clothes Utensils Other
Please specify which other items.
Please provide 3 possible dates for the service to take place:
1st Date

Day Month Year
Date
2nd Date

Day Month Year
Date
3rd Date

Day Month Year
Date
Additional details of requested work and/or description of problem. Please elaborate on details of chandeliers, oversized items, etc.
Picture (if any)

Cancel of
Should be Empty:

Deep Cleaning

Please provide 3 possible dates for the service to take place: