Initial Housecleaning for a Maintenance Program

Housekeeping Maintenance Program Form

Please fill out the form below to request services. We will get back to you within 24 hours to answer questions and schedule your regular service.
Client Name*

First NameLast Name
Client Email Address*
example@example.com
Client Phone Number*
Please enter a valid phone number.
Address of the Property to be Cleaned*

Street Address

Street Address Line 2
CityStateZip Code
Scope of Work

Please give us the scope of work by adjusting the sliders and adding any rotational projects.
How many BEDROOMS do you want cleaned?
How many BATHROOMS 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
What room(s) concern you most? Please list your top priority rooms, in order.
Are there any rooms/areas that we should not enter or avoid?
Extra Rotational Projects

We will do our best to complete these tasks during the initial cleaning. We will schedule each task occasionally, based on your interval.
Choose the rotational project(s) that you'd like to schedule

OvenClean exposed shelving inside the refrigeratorWipe exposed shelving in the pantry.Blinds (in the rooms we clean)Baseboards (exposed baseboards in the rooms we clean)
Please give us details pertaining to your rotational project(s). How often would you like these scheduled for?
Tell us about your household
How many adults living in the home?*
How many children (under 18) living in the home?*
How many pets living in the home?*
Would you consider yourself to be a minimalist or a collector?

MinimalistCollector
Can we expect any care providers or assistants during our visits? If so, please explain.
Notes or Special Instructions
Schedule
What cleaning interval are you requesting?
On the day of your cleaning, when would you like the housekeepers to be finished?
What is your timeframe? When would you like to start your program?
We can look for appointments within your timeframe
You're almost done. Just a few more things we'd like to have in your file .

Payment on file and entry/lock-up instructions will be requested separately.
Is there anything specific we should know about parking?
Where can we find your vacuum in your home?
Where are your garbage and recycling bins located?
What day does your garbage and recycling get picked up?
Is there a secondary contact for your file?
Budget

Do you want us to stay and do all rooms indicated (billed at the hourly price based on your interval) OR work up to your budget?
What is your budget?
Notes or Special Instructions
Should be Empty:

Housekeeping Maintenance Program Form

Scope of Work

Extra Rotational Projects

Tell us about your household

Schedule

You're almost done. Just a few more things we'd like to have in your file .

Budget