Unwavering Cleaning- New Client Intake Form

Unwavering Cleaning- New Client Intake Form

Please fill out the following form to help us serve you better!
Customer Information
Name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone
Email*
Preferred Contact Method:
What type of reminder would you like to receive for each service?*

TextEmail
Please check all preferred days for cleanings (including the day we have you scheduled for)
Please check your preferred times of the day for cleanings
About the home

Client's Home Information
# of bedrooms*
# of bathrooms*
Approx. square foot
# of stories*
Floor Type:

CarpetHard WoodVinylTileTreated ConcreteLaminateOther
Additional Services

Window CleaningLaundry ServiceDishwashingOrganizingOther
Cleaning Supplies:

Client will provide cleaning supplies.Cleaning company to provide cleaning supplies.
Pets:
If yes, type and any special notes:
Special Instructions or Notes:
Any areas we should avoid or take special care with:
Thank you for choosing Unwavering Cleaning. We're honored to serve your space with excellence and grace.
Should be Empty: