Pre-Assessment – Rare Cleaning Service
Please complete this form to allow us to accurately evaluate your residence and provide you with the most suitable cleaning proposal.
Basic Information
Fill in your contact details.
Full Name
First Name
Last Name
Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Full Address
Address
Address (cont.)
City
State
ZIP/Postal Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
About the Residence
Provide the characteristics of the residence.
Type of Residence
House
Apartment
Townhouse
Other
How many bedrooms does the residence have?
How many bathrooms?
Does the house have stairs?
Yes
No
Pets
Indicate if there are pets in the residence.
Are there pets in the residence?
No
Yes
What kind of pets? (dogs, cats, others)
Are they loose during cleaning?
Yes
No
Cleaning History
Share your cleaning service history.
Have you had professional cleaning service before?
Yes
No
How often do you usually clean?
First cleaning
Weekly
Biweekly
Monthly
Occasionally
Desired Cleaning Type
Choose the type of cleaning you are looking for.
What type of cleaning are you looking for?
Regular
Deep Cleaning
Move in / Move out
Post-construction
Other
Day and Time Preferences
Indicate the best days and times for cleaning.
Best day of the week for cleaning?
Monday to Friday
Weekend
Flexible
Preferred time
Morning
Afternoon
Any time
Is there any day or time that DOES NOT work for you?
Access to the Residence
Inform how access to the property will be made.
Will someone be home during cleaning?
Yes
No
Access method
Key
Code
Doorman
Other
Important Information
If there are restrictions or observations, please inform below.
Is there any area that should NOT be cleaned?
Any important observation? (allergies, specific products, etc.)
Form Objective
Understand why we ask for this information.
This form aims to help us assess if we can serve your residence in the best possible way before sending a proposal.
Submit Pre-Assessment
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