Cleaning Service Request Form for Nook & Cranny Cleaning LLC

Cleaning Service Request Form for Nook & Cranny Cleaning LLC

(Please fill out all areas for an accurate estimate.)
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Preferred form of contact:*
Service Details:
Type of Service Requested*

Reoccurring Residential CleaningDeep Residential CleaningMove-In Residential CleaningMove-Out Residential CleaningNesting Cleaning (to prepare home for baby’s arrival)Postpartum Maternity Cleaning (to help new mom after delivery)Post-Construction (residential)Office CleaningShort-term Rental/Airbnb/VRBOOrganization/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).

YesNo
Frequency*

One-TimeBi-WeeklyMonthlyShort-Term Rental Turnover
Preferred Date and Time *

MonthDayYear
Date
Hour MinutesAM/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 change ($15 per bed add. charge)Interior Window Cleaning ($10/ per window add. charge)Vinyl Blinds ($8/ per set of blinds add. charge)Lanai ($50 add. charge)Baseboards ($60 add. charge)Inside dryer vent trap & filter area ($20 add. charge)Inside cabinets and drawers ($40 add. charge)Other (please specify)
What are your main focus areas?*
Type of Property*

HouseApartmentCondoOfficeOther (Please Specify)
Do you own or rent the property?*
Total number of pets & type of pets*
Number of Bathrooms*
Does anyone in the residence smoke?*
Number of Bedrooms*
Square Footage (per tax card information)*
When was your last professional deep clean?*

1 month ago3-6 months ago1 year agoNever
Would you like to schedule a walkthrough or would you like to schedule a virtual video meeting?*

In-person walkthroughVirtual onlyNo walkthrough
Are there any human or pet biohazard materials present (urine, blood, feces, mold, etc)?*
Are there any active infestations (roaches, bed bugs, ants, rats, mice, etc)?*
If the answer is yes to the question above, please specify what type of infestation:
How did you hear about us?*

GoogleTiktokInstagramFacebookReferralOther
Signature*

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Date*

MonthDayYear
Date
Should be Empty:

Cleaning Service Request Form for Nook & Cranny Cleaning LLC

Service Details:

Property Details: