Service Request Form
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
What service/s would you like?
Cleaning
Organizing
Decorating
Cleaning
Levels of your home and/or approximate square footage
Number of bedrooms
Number of bathrooms
How many people including yourself are living at your home?
How many pets do you have? & What kind?
What type of cleaning service would you like?
Please Select
1 time deep clean
1 time standard clean
deep clean + recurring standard clean
recurring standard clean
How often would you like cleaning services?
Please Select
1x/ week
Every other week
1x/ month
Every other month
Would you like any add on's
Carpet cleaning
Interior of kitchen appliances (oven, toaster oven, fridge, dishwasher, etc.)
Wall cleaning
Attic space cleaning
Garage cleaning
Dishes
Laundry
Exterior window cleaning
Do you have any special requests?
Type of cleaning products
I will provide my own basic cleaning products and supplies
I want the cleaner to bring cleaning products and supplies
I can provide vacuum and mop, I want cleaner to bring cleaner sprays
Organizing
What rooms do you want organized?
Bedrooms
Bathrooms
Toy room
Office Space
Kitchen
Clothing closets and/or dressers
Other (specify below)
Any other rooms or spaces not listed you would like organized?
How many rooms or spaces total would you like organized?
What is your budget for purchasing organizational storage items?
Decorating
What rooms would you like decorated?
What is your decorating style? (minimalistic, modern, chic, farmhouse, coastal, industrial, bohemian, etc.)
What is your budget for purchasing new items for decoration?
Submit
Should be Empty: