Cleaning Service Request
Tell us a bit more about your space and cleaning needs. We’ll use this info to build your custom quote.
Company Info
Company Name
*
Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Type of Space
*
Please Select
Office
Co-Working Space
Retail Boutique
Salon Suites
Fitness Facility
Medical Facility
Warehouse
Restroom
Conference Room
Kitchen/Cafe
Other
How did you hear about us?
*
Referral
Web Search
Social Media
Other
How did you hear about us?
*
Cleaning Needs
What type of cleaning do you need?
*
Wipe shared surfaces (tables, counters)
Wipe private surfaces (tables, counters)
Wipe high-touch areas (handles, switches, doors)
Clean glass and mirrors
Clean windows (interior only unless noted)
Dust surfaces (desks, ledges, décor, plants)
Dust window ledges
Dust baseboards
Dust vents, fans, and high areas
Sweep hard floors
Mop hard floors
Vacuum rugs and mats
Empty trash and recycling bins
Clean and sanitize restrooms
Restock restroom supplies (toilet paper, soap, etc.)
Clean and sanitize kitchen or breakroom
Wipe appliances (microwave, fridge, etc.)
Polish stainless steel
Clean front entrance/door glass
Vacuum along corners and edges
Wipe walls and scuff marks
Remove cobwebs
Organize supply closet / refill supplies
Special project(s)
Other cleaning requests (not listed)
Please list other cleaning requests:
*
Please share more about your special project(s):
*
How often would you like dusting?
*
Please Select
Daily
2-3X/Per Week
1x/Week
Biweekly
Monthly
Bimonthly
How often would you like floor cleaning?
*
Please Select
Daily
2-3X/Per Week
1x/Week
Biweekly
Monthly
Bimonthly
How often would you like trash removal?
*
Please Select
Daily
2-3X/Per Week
1x/Week
Biweekly
Monthly
Bimonthly
How many trash cans are in the space?
*
1-4
5-10
11-15
16-20
21+
How many restrooms?
*
Please Select
1
2
3
4
5
6
7
8
9
10
How many stalls in each restroom?
*
Please Select
0-1
2-3
4-6
Cleaning Supplies
Will you provide cleaning supplies or should we use our own?
*
I will provide cleaning supplies.
You will need your own cleaning supplies.
Do you have any preferences for cleaning supplies? (e.g., fragrance-free, eco-friendly, etc.)
*
Yes
No
What do you prefer?
*
Building Information
How many buildings would you like cleaned?
*
What is the square footage of each?
*
How many floors in the building?
*
Please Select
1
2
3
4
5+
How many rooms on each floor?
*
Please Select
0-5
6-10
11-20
21+
Is there a storage area onsite to keep supplies and equipment?
*
Yes
No
Scope and Pricing
Cleaning Depth
We offer three levels of cleaning: Routine (basic upkeep like wiping surfaces, vacuuming, pulling trash, etc.), Mean (more detailed tasks like dusting, polishing stainless, etc.), and Master (deep cleaning of floors, baseboards, walls, etc.). Each can be customized to fit your needs.
What level of service do you think you need?
*
Routine
Mean
Master
Combo of 2
Combo of 3
What’s your monthly budget for cleaning?
*
Less than $300
$300 - $500
$500 - $750
$750 - $1,000
$1,000 - $1,500
$1,500 - $2,000
$2,000 - $3,000
$3,000+
Interested in Discounted Pricing?
Ask us how you can save up to 10% with contract agreements as short as 6 months. It’s a simple way to lock in your rate and get the most value over time.
Are you open to receiving a customized plan with tailored tasks, frequency, and cleaning level? (This may adjust pricing above your stated budget.)
*
Yes
Not right now
How often do you need cleaning?
*
Daily
Every other day
2-3x per week
Weekly
Biweekly
Monthly
Bimonthly
Special project
Custom schedule
How often would you like to make a payment for cleaning services?
*
Please Select
Weekly
Biweekly
Monthly
Bimonthly
Important Payment Info
Note: Due to the nature of our business, we require payment in advance for all cleaning services. This helps ensure fair and timely payroll for our team and guarantees your scheduled service is fully staffed and ready to go.
Reference Photo(s) Video(s)
Please upload any reference photos or videos of your space — including restrooms, common areas, or any specific areas you’d like us to focus on.
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