Residential Cleaning Client Form

Residential Cleaning Client Form

Please complete this form to help us understand your home, cleaning needs, and preferences so we can provide the best possible service.
Resident's Full Name*

First NameLast Name
Primary Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Type of Residence*
Number of Bedrooms*
Number of Bathrooms*
Approximate Square Footage of Home
Number of Occupants*
YesNo
KitchenBathroomsBedroomsLiving room / Family roomDining areaHome officeLaundry areaOther (please specify)
Dusting surfacesVacuuming carpets/rugsMopping floorsTrash removalWindow cleaning (interior)Bed making/changing linensOther (please specify)
Deep cleaningMove-in/move-out cleaningCarpet cleaningUpholstery cleaningPet stain/odor removalPost-renovation cleaningDisinfection servicesOther (please specify)
One-timeWeeklyBi-weekly (every other week)MonthlyCustom schedule (please specify)
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Preferred Time Window
As soon as possibleWithin 2 weeksWithin a monthFuture date (please specify)
Currently use a cleaning serviceClean myself/familyNo regular cleaning system
Quality issuesInconsistent servicePricing concernsNeed for additional servicesNot satisfied with communicationOther (please specify)
$150–$300$300–$500$500–$1,000$1,000-$1500$1500+Not Sure
CostQualityReliabilityTrustworthinessEco-friendly productsFlexibilityAll of the above
I will be homeKey under mat/lockboxDoor codeOther (please specify)
Security system (alarm)Gated entryPets that require special handlingAllergies or sensitivitiesOther (please specify)
I provide supplies/equipmentPlease bring your ownHybrid (some provided, some brought)
Do you have any product preferences or sensitivities?
What does “excellent service” mean for your home?
Have you had any issues with past cleaners or services? If yes, what were they?
How would you like us to handle any concerns or feedback?
Parking or building access details we should know about
Rooms or areas that should not be cleaned or entered
Anything else we should know about your home, expectations, or special requests?
Should be Empty: