Cleaning Service Request Form for Nook & Cranny Cleaning LLC
(Please fill out all areas for an accurate estimate.)
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred form of contact:
*
Please Select
Text
Call
Email
Service Details:
Type of Service Requested
*
Reoccurring Residential Cleaning
Deep Residential Cleaning
Move-In Residential Cleaning
Move-Out Residential Cleaning
Nesting Cleaning (to prepare home for baby’s arrival)
Postpartum Maternity Cleaning (to help new mom after delivery)
Post-Construction (residential)
Office Cleaning
Short-term Rental/Airbnb/VRBO
Organization/Decluttering (residential)
Other (please explain)
Other
Move-in/Move-out: Is the residence empty of all furniture and/or personal belongings? (If move-in/move-out cleaning is needed, the residence will need to be empty; no furniture and/or personal belongings).
Yes
No
Frequency
*
One-Time
Bi-Weekly
Monthly
Short-Term Rental Turnover
Preferred Date and Time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Property Details:
Additional Services Requested (additional charges apply):
Inside Oven Cleaning ($50 add. charge)
Inside Refrigerator Cleaning ($40 add. charge)
Inside Freezer Cleaning ($40 add. charge)
Bedding turnover ($25 per bed add. charge)
Interior Window Cleaning ($10/ per window add. charge)
Vinyl Blinds ($8/ per set of blinds add. charge)
Inside dryer vent trap & filter area ($20 add. charge)
Inside cabinets and drawers ($50 add. charge)
Baseboards ($60 add. charge)
Hand-scrubbing tile/grout ($40 per room)
Other (please specify)
What are your main focus areas?
*
Type of Property
*
House
Apartment
Condo
Office
Other (Please Specify)
Do you own or rent the property?
*
Total number of pets & type of pets
*
Number of Bathrooms
*
Number of Bedrooms
*
Square Footage (per tax card information)
*
Does anyone in the residence smoke?
*
When was your last professional deep clean?
*
1 month ago
3-6 months ago
1 year ago
Never
Would you like to schedule a walkthrough or would you like to schedule a virtual video meeting?
*
In-person walkthrough
Virtual only
Are there any human or pet biohazard materials present (urine, blood, feces, mold, etc)?
*
Please Select
Yes
No
Are there any active infestations (roaches, bed bugs, ants, rats, mice, etc)?
*
Please Select
Yes (if yes, please explain)
No
If the answer is yes to the question above, please specify what type of infestation:
How did you hear about us?
*
Google
Tiktok
Instagram
Facebook
Referral
Other
Signature
*
Date
*
-
Month
-
Day
Year
Date
Continue
Continue
Should be Empty: