Laundry Mate Client Questionnaire

Laundry Mate Client Questionnaire
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Date

MonthDayYear
Date
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
What type of laundry service are you looking for?

Wash, Dry & FoldWash, Dry, & HangSpecialty cleaning (e.g., delicates, wool, etc.)
How many members of your household will need clothes laundered?
Do you have any specific detergent or fabric softener preferences?

ScentedUnscentedHypoallergenic
Do you have any allergies or sensitivities to certain detergents or chemicals? Please Specify
How often would you like your laundry serviced?

WeeklyBi-WeeklyMonthlyAs Needed
Preferred pick up days?

MondayThursday
Preferred time for pick-up and delivery?

Morning (8am - 12pm)Afternoon (12pm - 4pm)No preference
How did you hear about us?

GoogleYelpSocial MediaWord of Mouth
Should be Empty:

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