Cloud 9 Housekeeping Maintenance Form
This is the information needed to maintain a housekeeping program
Primary Client Responsible for Maintenance Housekeeping Program
*
First Name
Last Name
Primary Client Cell Phone
*
Please enter a valid phone number.
Primary Client Email
*
example@example.com
How Will We Access Your Home on the Day of Our Visits? Include Alarm Code and location, if applicable.
*
Secondary Client Contact
First Name
Last Name
Secondary Client Contact Cell Phone
Please enter a valid phone number.
Other Family Members or Assistants at the Service Address
Pets, Special Instructions for Pets
Where Are Your Garbage and Recycling Bins Located?
*
Where Can We Find Your Vacuum in Your Home?
*
Are There Any Rooms/Areas That We Should Not Enter or Avoid?
Budget
What's your budget? How much cleaning time do you want us to schedule?
*
Flexible Budget. I want cleaning in all the rooms I listed.
Get as much done without exceeding the 3 man-hour minimum
Other
Cleaning Priorities
Use the menu below to tell us what rooms you want cleaned. Our technicians follow our Standard Cleaning Tasks. Technicians will clean down your list in the order you submit until either all rooms are finished, or your budget has been met.
1st Priority Room(s)
Please Select
-Select-
Kitchen/Eating Area
Master Bath
Master Bedroom
Full Bath(s)
Half-Bath(s)
Standard Bedroom(s)
Laundry/Mud Room
Family Room
Living Room
Dining Room
Den/Office
Bonus Room
Entry
Stairs
Halls
Other Room - Please specify below
2nd Priority Room(s)
Please Select
-Select-
Kitchen/Eating Area
Master Bath
Master Bedroom
Full Bath(s)
Half-Bath(s)
Standard Bedroom(s)
Laundry/Mud Room
Family Room
Living Room
Dining Room
Den/Office
Bonus Room
Entry
Stairs
Halls
Other Room - Please specify below
3rd Priority Room(s)
Please Select
-Select-
Kitchen/Eating Area
Master Bath
Master Bedroom
Full Bath(s)
Half-Bath(s)
Standard Bedroom(s)
Laundry/Mud Room
Family Room
Living Room
Dining Room
Den/Office
Bonus Room
Entry
Stairs
Halls
Other Room - Please specify below
4th Priority Room(s)
Please Select
-Select-
Kitchen/Eating Area
Master Bath
Master Bedroom
Full Bath(s)
Half-Bath(s)
Standard Bedroom(s)
Laundry/Mud Room
Family Room
Living Room
Dining Room
Den/Office
Bonus Room
Entry
Stairs
Halls
Other Room - Please specify below
5th Priority Room(s)
Please Select
-Select-
Kitchen/Eating Area
Master Bath
Master Bedroom
Full Bath(s)
Half-Bath(s)
Standard Bedroom(s)
Laundry/Mud Room
Family Room
Living Room
Dining Room
Den/Office
Bonus Room
Entry
Stairs
Halls
Other Room - Please specify below
6th Priority Room(s)
Please Select
-Select-
Kitchen/Eating Area
Master Bath
Master Bedroom
Full Bath(s)
Half-Bath(s)
Standard Bedroom(s)
Laundry/Mud Room
Family Room
Living Room
Dining Room
Den/Office
Bonus Room
Entry
Stairs
Halls
Other Room - Please specify below
7th Priority Room(s)
Please Select
-Select-
Kitchen/Eating Area
Master Bath
Master Bedroom
Full Bath(s)
Half-Bath(s)
Standard Bedroom(s)
Laundry/Mud Room
Family Room
Living Room
Dining Room
Den/Office
Bonus Room
Entry
Stairs
Halls
Other Room - Please specify below
8th Priority Room(s)
Please Select
-Select-
Kitchen/Eating Area
Master Bath
Master Bedroom
Full Bath(s)
Half-Bath(s)
Standard Bedroom(s)
Laundry/Mud Room
Family Room
Living Room
Dining Room
Den/Office
Bonus Room
Entry
Stairs
Halls
Other Room - Please specify below
9th Priority Room(s)
Please Select
-Select-
Kitchen/Eating Area
Master Bath
Master Bedroom
Full Bath(s)
Half-Bath(s)
Standard Bedroom(s)
Laundry/Mud Room
Family Room
Living Room
Dining Room
Den/Office
Bonus Room
Entry
Stairs
Halls
Other Room - Please specify below
10th Priority Room(S)
Please Select
-Select-
Kitchen/Eating Area
Master Bath
Master Bedroom
Full Bath(s)
Half-Bath(s)
Standard Bedroom(s)
Laundry/Mud Room
Family Room
Living Room
Dining Room
Den/Office
Bonus Room
Entry
Stairs
Halls
Other Room - Please specify below
Additional Rooms or Special Instructions
Extra Rotational Projects
We will schedule these to be done occasionally, based on your interval
Choose Rotational Projects
Clean inside oven
Clean Inside Refrigerator
Clean inside Pantry
Other
Please give us details pertaining to you rotational special project(s). How often would you like these scheduled for?
Schedule
On the day of your cleaning, when would you like the housekeepers to be finished?
*
By Noon
By 3 PM
I'm flexible. You can arrive as early as 9am and complete by 5pm
Which day of the week does the garbage service come?
*
What cleaning interval are you requesting?
*
Weekly
Every 2 Weeks
Every 4 weeks (in select zip codes)
Service Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Appointment Terms
Cancellation, Lockout, Delayed Entry Terms
Submit
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