Call It Cleaner | Service Request Form
Honesty really is the best policy! Nothing you disclose on this form will be used to judge you or make you feel bad in any way. Some of the questions may seem a little intrusive but we just need all the facts so that we can be prepared on cleaning day!
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How did you hear about us?
Referral
Web Search
Social Media
Flyer
Yelp
Property Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Total Square Footage
Type of Residence
Please Select
Apartment
Commercial
Residential home
Duplex/Triplex
Condo
Office
Other
Main Service Needed
Move in Cleaning
Move out cleaning
Full Home Deep Cleaning
Kitchen and bathroom deep cleaning
Full kitchen and appliance deep cleaning
Walls and All detailing service
Cleaning out your closets, cupboards and drawers deep cleaning
Full bathroom deep cleaning (incl 2)
Other
Type(s) of Flooring
Tile
Carpet
Hardwood
Vinyl
Marble
Other
Additional Rooms Needing Serviced (besides kitchen, dining room, living room, bedrooms, bathrooms or laundry room)
Home office
Family room/Den
Playroom
Library/Reading room
Foyer /Entry way
Other
#of Bedrooms
Please Select
1
2
3
4
5
6
7
8
9
10
#of Bathrooms
Please Select
1
2
3
4
5
6
7
8
9
10
Additional Services (additional fees apply)
Refrigerator Deep Cleaning $40 (interior/exterior (add. $10 behind and underneath
Comprehensive window treatment (Interior only) up to 15 windows $100
Pet odor and hair removal $75 (cleaning up excessive urine and other bodily fluid will be charged an extra $50)
Oven Deep Cleaning $40 interior/exterior (add. $10 behind and underneath
Comprehensive window treatment (interior/exterior) up to 15 windows $250
Walls and all detailing $100
Carpet cleaning starting at $50 per room
Tile and grout cleaning starting at $50 per 100 sq ft
Hard wood floor cleaning starting at $50 per 100 sq ft
Laminate/vinyl Floor cleaning starting a $30 per 100 sq ft
Shower glass door + tile wall deep cleaning
Smoke/other strong odor removal $250 and up depending on severity
Other
Preferred date (pick 3)
*
-
Month
-
Day
Year
Date
Preferred date second choice
*
-
Month
-
Day
Year
Date
Preferred date third choice
*
-
Month
-
Day
Year
Date
Please take a well lit photo of your kitchen/ dining room
*
Please take a well lit photo of your kitchen/ dining room
*
Please take a well lit photo of your kitchen/ dining room
*
Please take a well lit photo of your oven/stovetop
*
Please take a well lit photo of your oven (interior) only if you added oven deep cleaning to your service
Please take a well lit photo of your refrigerator (exterior)
*
Please take a well lit photo of your refrigerator (interior) only if you added refrigerator deep cleaning to your service
Please take a well lit photo of your living room
*
Please take a well lit photo of your living room
*
Please take a well lit photo of your main bathroom
*
Please take a well lit photo of your main bathrooms shower/tub (as close up as possible while getting the entire tub/ shower in the shot)
*
Please take a well lit photo of your main bathrooms toilet lid up (as close up as possible while getting the entire toilet in the shot)
*
Please take a well lit photo of your main bathrooms vanity /sink and mirror (as close up as possible while getting the entire vanity/mirror in the shot)
*
Please take a well lit photo of your master bathroom
*
Please take a well lit photo of your master bathrooms shower/tub (as close up as possible while getting the entire tub/ shower in the shot)
*
Please take a well lit photo of your master bathrooms vanity /sink and mirror (as close up as possible while getting the entire vanity /mirror in the shot)
*
Please take a well lit photo of your master bathrooms TOILET lid UP(as close up as possible while getting the entire toilet in the shot)
*
Please take a well lit photo of your additional bedroom (if applicable)
Please take a well lit photo of your additional bedroom (if applicable)
Please take a well lit photo of your additional bedroom (if applicable)
Please take a well lit photo of your additional bedroom (if applicable)
Please take a well lit photo of your laundry room (if applicable )
Please take a well lit photo of any other areas you want cleaned.
Please take a well lit photo of any other areas you want cleaned.
Please take a well lit photo of any other areas you want cleaned.
What level of cleaning does your home require? (No judgement, I just need to be prepared on cleaning day!)
Level 1: I keep up on the cleaning and making it look nice. ( requires light dusting and cleaning the floors)
Level 2: I work a lot/extremely busy and do not have the time to maintain regular house cleaning. Some scrubbing, heavy dusting and floors required.
Level 3: I hardly ever clean my home and it’s become too overwhelming to even try now. Extra labor, time and resources required.
Below sections will be filled out by the Company.
Quote
Starting Price ($)
Sq ft
Total Cost ($)
Floors
Windows
Walls
Furniture
Garage
Carpets
Kitchen
Bathroom
Total Amount ($)
Quote Prepared by
First Name
Last Name
Save
Submit
Should be Empty: