Honeywell Staffing - Commercial Cleaning - Intake Form
Company & Contact Information
Contact Name
*
First Name
Last Name
Company Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Business Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Type of Business
Service Needed
*
Please Select
One-time Cleaning
Recurring Cleaning
Not sure yet
Frequency of Service
Services Requested
General Cleaning
Deep Cleaning
Post-Construction Cleaning
Floor Care
Window Cleaning
Washrooms
Kitchen / Break Room
Disinfection
Other
Cleaning Information
Square Footage
*
No. of Floors
No. of Bathrooms
*
Please Select
1
2
3
4
5
6
7
8
No. of Rooms
*
Please Select
1
2
3
4
5
6
Who will supply cleaning products and equipment?
Please Select
Honeywell Staffing
Our company
Not sure
Days Until Start
Access instructions or restrictions
How long do you expect the cleaning to take
Do you require Specialized Cleaning
Please Select
No
Yes
How did you hear about us?
Please Select
Previous Client
Referral
Online Search
GigSalad
Other
Desired Start Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Preferred Cleaning Time
Please Select
Business Hours
After Hours / Evenings
Weekends
Flexible
Please describe the specialized cleaning required
Please specify
Additional Information
Submission Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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