Cleaning Client Information Sheet

Hello! Thank you for choosing Polished to Perfection Cleaning Service for your cleaning needs! Please fill out the Client Information Form and submit.
Thank you!
Polished to Perfection Cleaning Service Client Information

Contact & Preference Information
Customer Information
Name

First NameLast Name
How did you hear about us? (If someone referred you, they will get a special discount!)
Birthday (for special coupons/offers!)

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell

Area CodePhone Number
Email
What type of reminder would you like to receive for each service?
Please check all preferred days for cleanings (including the day we have you scheduled for)
Please check your preferred times of the day for cleanings
About the home

Client's Home Information
# of bedrooms
# of bathrooms
Approx. square foot
# of stories
Special Instructions Regarding Closed Doors
"Do Not Touch" Items
Earliest and latest time of the day to clean your home:(i.e. 8am – 5pm)
Special Products Client Will Provide and Location of Products
Do you have issues with hard water?
Glass shower doors?
Types of Flooring
Access to Home (Gate Code, Alarm Code and Location, Location of Hidden Key, Other Entering Instructions)
Animal Names, Types and Special Instructions
If you have dogs, are they allowed to have Milkbone treats?
List tasks to exclude and any other instructions:
I provide all supplies needed. If you prefer a specific product to be used in your home, please specify above.
Should be Empty:

Polished to Perfection Cleaning Service Client Information

Customer Information

About the home

I provide all supplies needed. If you prefer a specific product to be used in your home, please specify above.