CLEANING ESTIMATE INTAKE
Name
First Name
Last Name
Cell Phone
Please enter a valid phone number.
Email Address
example@example.com
Total Bedrooms
Total Bathrooms
Number of bedrooms and bathrooms needing cleaned:
QUESTIONNAIRE
1. What Services are you interested in? Select all that apply
One-time
Weekly
Biweekly
Triweekly
Monthly
Move In/Out
Airbnb
Commercial
Event Cleaning
2. Approximate square footage:
3. Any glass shower doors, if so, how many?
4. What type of flooring is primarily used throughout the home? (e.g., hardwood, tile, carpet, vinyl, combination, etc.)
5.Are there any natural stone, travertine, brass, or other custom materials in your home that require special cleaning?
6. Any pets? (If so, type and number of pets)
7. Ever had a cleaner before?
8. Any problem areas or special projects?
9. 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
Youtube
Google
Reference
Other
Best way to contact you?
Call
Email
Text
Other
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Client Signature
Submit
Submit
Should be Empty: