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Move Out / Move In Cleaning Intake Form
Please complete this form to request a cleaning service for your property. We'll use your information to prepare an accurate quote and schedule your cleaning..
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1
Is this a Move-In or Move-Out cleaning?
*
This field is required.
Move-In
Move-Out
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2
How Many Bathrooms/Toilets/En-suit Need Cleaning?
*
This field is required.
1
2
2.5
3
3.5
4
4.5
5
5.5
Other
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3
How Many Bedrooms To Be Cleaned?
*
This field is required.
1
2
3
4
5
6
7
None
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4
How Many Living Room To Be Cleaned?
*
This field is required.
1
2
3
None
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5
How Many Kitchen To Be Cleaned?
*
This field is required.
1
2
3
4
None
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6
What is the size of the house?
*
This field is required.
Please let us know the approximate square footage of the house
Less than 1000sq ft
1000-1500 sq ft
1500-2000 sq ft
2000-2500 sq ft
2500-3000 sq ft
3000-3500 sq ft
3500- 4000 sq ft
Over 4000 sq ft
Other
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7
If You Have Carpets, How Do You Want Them Cleaned?
*
This field is required.
Professional cleaning means that we use a truck mount steam cleaning machine to clean the carpet.
Just Vacuumed and Mopped
Professionally Steam Cleaned
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8
How Many Carpet Areas Do you need Cleaned?
*
This field is required.
1 bedroom
2 bedrooms
2 bedrooms and 1 Living room
3 bedrooms
3 bedrooms and 1 Living room
3 bedrooms and 2 Living rooms
4 bedrooms
4 bedrooms and 1 Living room
4 bedrooms and 2 Living room
5 bedrooms
5 bedrooms and 1 Living room
5 bedrooms and 2 Living room
Other
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9
How Many Stairs need to be steam cleaned?
*
This field is required.
Please count each steps
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10
How Many Hallways need to be cleaned?
*
This field is required.
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11
Are there any tough stains or pet stain that needs to treated?
*
This field is required.
Please note, the cost for the treatment will be calculated separately on the day of the cleaning.
Yes
No
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12
Do you need the Interior windows cleaned?
*
This field is required.
Please note, we do not clean exterior windows
Yes
No
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13
Do You Need the Walls Cleaned
*
This field is required.
Just spot cleaning
I don’t need the walls cleaned
Spot cleaning and Wiped down
Other
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14
Do Yo Need the Appliances Cleaned?
*
This field is required.
We cleaned inside and outside the appliances except for inside the dishwash
Yes
No
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15
What are the appliances You need cleaned
*
This field is required.
Inside Oven
Laundry washer
Refrigerator and Freezer
Laundry Dryer
Outside of Dishwasher
Microwave (inside and outside)
Extractor Fan/ Extractor hood
Hob/Stove Top
Other
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16
What else would you like included?
*
This field is required.
Inside/ Outside cabinets
Baseboards
Windows (interior)
Blinds
Walls/Doors
Spot Treatments of the walls
Garage cleaning
Laundry room
Balcony
Utility room
Nothing else
Other
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17
How would describe the condition of the house?
*
This field is required.
This will help us get you the best quote and plan the right team
Quite Clean
Average
Dirty
Very Dirty
Filthy
Other
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18
Are there pets on the property?
*
This field is required.
No
Yes
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19
Property Type
*
This field is required.
House
Apartment
Condo
Townhome
Other
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20
Full Name
*
This field is required.
First Name
Last Name
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21
Email Address
*
This field is required.
example@example.com
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22
Phone Number
*
This field is required.
Please enter a valid phone number.
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23
Preferred Contact Method
*
This field is required.
Phone Call
Email
Text Message
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24
Service Address
*
This field is required.
Street Address
Street Address Line 2
City
State
Zip 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
Please Select
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
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25
Preferred Cleaning Date(s) and Time(s)
*
This field is required.
-
Date
Month
Day
Year
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Minutes
AM
PM
AM
AM
PM
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26
Are your dates flexible?
Yes
No
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27
Are there anything else you would like us to clean? Are there any areas you would want us to prioritize? Any pictures you'd like to add?
Anything you might think will help us understand more about your job, or areas you need the most attention paid to?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
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28
I consent to the terms and conditions and agree to receive communications regarding my cleaning service request.
*
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Move Out / Move In Cleaning Intake
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