CLEANING ESTIMATE
Name
First Name
Last Name
Cell Phone
Please enter a valid phone number.
Email Address
example@example.com
Address
Street Address
City
State / Province
Postal / Zip Code
Total Bedrooms
Total Bathrooms
QUESTIONNAIRE
What Services are you interested in?
Deep cleaning
Regular cleaning
Move In/Out
Workspace/ office Cleaning
1. How often do you want cleaning?
One-time
Weekly
Biweekly
Monthly
2.Are there any additional areas you would like cleaned?
Inside the fridge
Inside the oven
Inside the cabinets
Other
3.Approximate square footage:
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: