Two Girls One Mop LLC
New Client Questionnaire
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How do you prefer to be contacted?
Email
Text
Phone Call
What areas do you need cleaned?
Kitchen
Bathroom(s)
Bedroom(s)
Dining Room
Office
Living Room
Other
How many bathrooms?
*
How many bedrooms?
*
How would you describe the current state of your home?
Lots of buildup
Could definitely use some TLC
Manageable
Very clean, I regularly clean and keep up with it
Have you had a professional cleaning done before by any other company at this address?
Yes
No
If yes, when was the last cleaning?
Would you like any additional services during the initial deep clean? (If you would like these with routine visits, please let us know in the "anything else you want us to know" box at the end of the page.)
Interior of microwave ($15)
Interior of oven ($50)
Interior of fridge ($50)
Cabinets washed (Included with initial)
Baseboards washed (Included with initial)
Bed linen changed ($10/bed)
How many square feet is the area you need cleaned?
Tell us more about your home:
Will the home be occupied?
yes
no
Is anyone in your household a healthcare worker, teacher, or first responder? If yes, what do they do?
Do you have any pets?
yes
no
If yes to pets, what kind/what are their names? (Please include if they have any allergies) **This does not affect the price, we typically provide treats if we know the types of animals!**
What type of services are you looking for? (We will send you an estimate for an initial clean as well as routine cleaning selected.)
Once (initial deep clean) (REQUIRED FOR FIRST VISIT)
Weekly
Biweekly
Monthly
Other
How did you hear about us? (If this is a referral from a client of ours, please include their name)
Anything else you want us to know? (allergies, specific chemicals to avoid, use some of your own chemicals, specific areas needing to be cleaned). PLEASE NOTE, we do not move any large furniture, large rugs, stand on ladders, etc.
Submit
Should be Empty: