CLEANING ESTIMATE
Name
First Name
Last Name
Cell Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Address
Street Address
City
State / Province
Postal / Zip Code
Total Bedrooms
Total Bathrooms
QUESTIONNAIRE
1. How often do you want cleaning?
One-time
Weekly
Biweekly
Monthly
Please select all the options that apply
The house has blinds
The house has carpeted floors
The house have has fans
3.Approximate square footage:
Would you like to schedule a quick, free walk-through before the cleaning?
Yes
No
4.Any pets? (If so, type and number of pets)
5. Ever had a cleaner before?
6.When would you like to schedule the service?
7. Any problem areas or special projects?
8. How would you describe dirt level?
not much dirty
1
2
3
4
5
6
7
8
9
extremely dirty
10
1 is not much dirty, 10 is extremely dirty
10. How did you hear about us?
Facebook
Google
Reference
Other
Submit
Should be Empty: