Maggie's Cleaning Intake Form
Help up get to know your needs!
Customer Information
Contact #1
*
First Name
Last Name
Contact #2
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Postal Code
Contact #1
*
-
Area Code
Phone Number
Contact #2
-
Area Code
Phone Number
Email
*
Help Us Find Your House
If difficult to find, distinguishing features etc.
Preferred Entrance
*
Front, back or side door, carport, etc.
Service Details
Requested Start Date
*
/
Month
/
Day
Year
Date
Cleaning Frequency
*
Weekly
Monthly
Bi-Weekly
One-Time
Move In/Out
Other
Please check your preferred times of the day for cleanings
Please check all preferred days for cleanings
What type of reminder would you like to receive for each service?
*
Text
Email
None
Other
About the home
# of bedrooms
*
# of bathrooms
*
Approx. square foot
# of stories
*
More than 50% carpeted
Please Select
Yes
No
Animal Names, Types and Special Instructions
Let us know if you havce a cat and would like the FREE LITTERBOX clean!
Closed Door Preference
Do not open, or OK to enter
Do Not Touch Items
Delicate or fragile items with locations
Earliest and latest time of the day to clean your home
Ex: Earliest start 8am; Finish no later than 5pm
Special Products Client Will Supply
Cleaning products are provided, but let us know if you require specific products
Access to Home
*
Gate Code, alarm code, key access
Location of Central Trash Container
*
For bathroom trash - we do not take out kitchen trash
Other Instructions
Periodic Tasks
The following are not included in a scheduled clean and are billed hourly. Please check any items you wish to include. A separate appointment will be scheduled.
Please check any tasks you would like to include in the quote.
Interior Oven
Interior Fridge
Hand wash baseboards
Door fronts and frames
Vacuum upholstery
Windows & window sills
Hand wipe outdoor furniture
Other
How did you hear about us?
Facebook
Google
Website
Friend
Other
Submit
Should be Empty: