New Customer Registration Form

1
Full Name* This field is required.
First Name
Last Name
2
What are your preferred pronouns?
3
When is your birthday?Only the Day and Month are needed for a birthday discount! (If you aren't comfortable, type no)
4
E-mail
example@example.com
5
Phone Number* This field is required.
6
What is your address? If you are more comfortable providing street names, or the nearest intersection, that works too!
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7
When was the last time your home was professionally cleaned?It is completely okay (and super exciting) if this would be the first time
8
On a scale of 1-10, how would you rank the cleanliness of your home? (1 being "Needs a lot of love, 10 meaning "Passes the white glove test) There is absolutely no judgement, we're here to help!
9
What type of service are you looking for?Please select any/all that interest you
one-time deep clean
Realtor clean (Pre-showing or photos)
Seasonal clean
Move in/out clean
Custom clean
Post construction/ Post renovation cleaning
Weekly
Bi-Weekly
Monthly
Other
10
Approximately how many square feet is your home?
under 1000
1000-1499
1500-1999
2000=2999
3000-3499
3500+
11
How many levels are in your home?Please indicate all levels that you would like the cleaning to take place on, including the basement
1
2
3
4
5+
12
How many bathrooms are in your home?A full bath consists of 3 or more pieces. A half bath (powder room) consists of only a sink and toilet.
1
1.5
2
2.5
3
3.5
4
4.5
5+
13
How many kitchen(ettes) are in your home?
1
2
3
4+
14
How many bedrooms do you have in your home* This field is required.
1
2
3
4
5
6+
15
Do any children live in your home? If 'yes' are you comfortable sharing their ages?We ask this question simply to get an idea of how your space is used and how much love it may require. If you aren't comfortable sharing this information we 100% respect that choice, just type no in the box below.
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16
Do any pets live in your home? If so, please tell us about them. We love pets!All shapes and sizes, we love them!
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17
How long have you lived in your home for?
18
What is your budget?
19
Please upload a current photo of your kitchen, bathroom/s, bedrooms you'd like cleaned and most used living spaces. Please ensure the photos accurately represent your space.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
20
What days and times typically work best for you and your home?Please note - We do not require that anyone is present for you service, though we understand that some clients prefer to be home
AM (8am-12pm)
MID (10am-2pm)
PM (12pm-4pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Other
21
Are photos allowed to be taken inside your home?These would be "Before/After photos, nothing personal would be included in the shots!
YESNO
22
Is there anything else we should know about your home or the service you are requiring?Items/Rooms you don't want us to touch/enter, Any scent and/or food allergies? General questions or concerns?
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23
How did you hear about us?
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