House Cleaning Appointment Request-Intake Form

House Cleaning Appointment Request-Intake Form

Please fill out the form below to estimate your house cleaning and request an appointment. We will get back to you within 24 hours to answer questions and schedule your appointment.
Scope of Work

Please give us the scope of work by adjusting the sliders and adding any extra projects.
How many KITCHENS do you want cleaned?
How many BATHROOMS do you want cleaned?
How many BEDROOMS do you want cleaned?
How many COMMON AREA ROOMS do you want cleaned?
Per 100 sq ft., Approximate SIZE of the home? Ex: 21 = 2100
Extra Projects? Price estimates based on average times needed to clean in occupied homes.
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Blinds
Dust and wipe Blinds in all rooms indicated, About 10 minutes per set

$8 Quantity



Baseboards
Wipe baseboards (more than dusting) About 15-20 minutes per room

$15 Number of Rooms



Clean Inside Oven
Clean the inside of an oven. About 45 minutes

$40 Quantity



Wipe Walls
Wipe wall smudges, (more than dusting) About 10 minutes per room

$8 Number of Rooms



Clean Inside Refrigerator
Wipe expose shelving inside fridge. DOES NOT include removing and replacing contents. About 30 minutes

$25 Quantity



Clean Inside Pantry
Remove items, clean shelving, and replace items. About 45 minutes

$40 Quantity



Total

$0.00
-TOTAL ESTIMATED COST - For occupied Standard Cleaning, plus your Extra Projects. THIS IS JUST AN ESTIMATE. Actual cost will vary based on the actual time needed to clean and is calculated at $50 per labor hour.
This is an ESTIMATE only. Actual cost will vary.
$150 for a 3 hour minimum appointment$150-$250 for 3 to 5 labor hours$250-$350 for 5 to 7 labor hours$350-$450 for 7 to 9 labor hoursI think I need more than 9 hours - Please help me decide
What room(s) concern you most? Please list your top priority rooms, in order.
List the rooms from top priority to last priority.
Regular 1-Time - (Standard Cleaning)Post-Construction - (Standard Cleaning)Market Ready - (Standard Cleaning)Move-In/Move-Out, Turnover Ready - (Vacant Cleaning)Initial for Maintenance Program - (Standard Cleaning)Other
Notes or Special Instructions
Client Name*

First NameLast Name
Client Email Address*
example@example.com
Client Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address of the Property to be Cleaned*

Street Address

Street Address Line 2
CityStateZip Code
Timeframe - What is the earliest date this could be done? What is the latest date?
We can look for appointments within your timeframe
How many adults living in the home?*
How many children (under 18) living in the home?*
How many pets living in the home?*
Window WashingCarpet CleaningUpholstery CleaningDuct or Dryer Vent CleaningPressure Washing
Social/Neighborhood MediaFriend/Family ReferralGoogle SearchVan in the NeighborhoodOther
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House Cleaning Appointment Request-Intake Form

Scope of Work