Cleaning Client Information Form

Cleaning Client Information Form
Name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone
Format: (000) 000-0000.
Email*
Is the address listed above the home that needs to be cleaned? If not, please list the address
TextEmail
Type of cleaning you are interested in?
Do you have any pets? if so, list how many and types of breeds
**For the safety of both the cleaners and the pets, we do ask that pets be removed or kenneled in a separate area the day of service please**
Please check all preferred days for cleanings (including the day you would like the cleaning done)
Please check your preferred times of the day for cleanings
About the home

Client's Home Information
What type of service applies to you
# of bedrooms*
# of bathrooms*
Approx. square foot
Interior Appliances & Cabinet Cleaning (such as Oven, Refrigerator, Cupboards, Drawers etc)Walls & Baseboard CleaningCarpet ShampooingExterior Window CleaningLaundry Service, (Wash, Dry, Fold & Put Away)Dishwashing Service (Wash, Dry & Put Away)Other
Client will provide cleaning supplies (if there are special supplies you would like us to use, please note them in the section below)Cleaning company to provide cleaning supplies
Please include any and all special requests or notes that the cleaners need to know about the home:
Please list any tasks or areas of the home that are not to be included in the service:
Should be Empty: