Cleaning Checklist
Ensuring Thoroughness and Hygiene Excellence
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Best time to contact you?
*
Day
Night
Email
*
example@example.com
Requested Cleaning Date
*
-
Month
-
Day
Year
Date
KITCHEN
Clean Fridge
Clean Stove
Clean Oven
Clean Microwave
Clean Dishwasher
Clean Counters
Wipe Cabinets (In & Out)
Wipe Drawers (In & Out)
Clean Small Appliances (Toaster, Coffee Maker, etc.)
Wipe Pantry
Sweep & Mop Floors
Empty & Clean Trash Bins
Wash Dishes & Clean Sink
BATHROOM
Clean Shower/Bathtub
Clean Sink
Clean Toilet
Clean Vanity
Replace Towels and Bathmats
Empty & Clean Trash Bins
Sweep & Mop Floors
BEDROOM
Change Sheets & Pillowcases
Dust Furniture Surfaces
Sweep Or Vacuum Floors
Mop Floors
Sweep Or Vacuum Rugs
Straighten Up Closet
LIVING ROOM
Dust Furniture, Shelves, and Decorative Items
Wipe Down Electronics (TV Screens, Computer Monitors, etc.)
Dust & Clean Ceiling Fans and Light Fixtures.
Vacuum Or Sweep Floors
Vacuum Or Sweep Rugs
Mop Floors
FAMILY ROOM
Dust Furniture, Shelves, and Decorative Items
Wipe Down Electronics (TV Screens, Computer Monitors, etc.)
Dust & Clean Ceiling Fans and Light Fixtures.
Vacuum Or Sweep Floors
Vacuum Or Sweep Rugs
Mop Floors
ADDITIONAL DUTIES
Disinfect High-Touch Surfaces (Doorknobs, Light Switches, Remote Control etc.)
Dust Wall Art or Picture Frames
Vacuum or Sweep Stairs.
Dust Light Fixtures
What types of flooring does your home/office have? (If not listed, please specify in the 'Special Instruction/Notes' section at the end of this form).
Marble
Hardwood
Linoleum
Carpet
Tile
Vinyl
ARE THERE ANY STAINLESS STEEL APPLIANCES THAT WILL REQUIRE CLEANING? IF SO, PLEASE SPECIFY THEM BELOW.
ARE THERE ANY PARTICULAR CLEANING PRODUCTS OR CHEMICALS TO WHICH YOU ARE ALLERGIC OR SENSITIVE? IF YES, PLEASE SPECIFY BELOW, ALONG WITH ANY PRODUCTS YOU WOULD PREFER TO BE USED INSTEAD.
YES
NO
Special Instructions or Notes
Submit
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