Home Cleaning Estimate Form

Home Cleaning Estimate Form

Please provide the details below to receive an estimate for home cleaning services.
Full Name

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

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Type of Cleaning Service

Standard CleaningDeep CleaningMove-in/Move-out CleaningPost-Construction CleaningOrganizationBaseboards (only visible baseboards)Other
Approximate Size of Home (square feet)
Preferred Date for Cleaning

MonthDayYear
Date
Additional Comments or Special Requests
How often would you like cleaning services?

One-TimeWeeklyBi-Weekly (every 2 weeks)Occasional ( As needed)Move-In/ Move-Out
Are there pets in the home?

YesNo
Is smoking present in home?

YesNo
Condition of home

1

2

3

4

5

1 is Worst, 5 is Best
Homes with pets or smoking may be subject to a $50 sanitation fee and additional service requirements in accordance with PureCare Cleaning policies.

If you accept the quote, a confirmation email will be sent with instructions to pay the required deposit. You may also visit purecarecleaningllc.com and submit your deposit under the Payment tab.

Please note: Your appointment is not confirmed until the required deposit has been received

Final pricing may be adjusted based on the condition of the home and service requirements
Should be Empty: