Signature Residential Refresh
Use this form to share your home details, service preferences, scheduling needs, and any access or care instructions for recurring residential cleaning.
Client & Property Information
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Service Address
*
Street Address
Street Address Line 2
Postal Code
City
Province
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
Property Type
*
House
Apartment/Condo
Townhouse
Duplex
Upper Suite
Basement Suite
Mobile Home
Other
Square Footage
*
Levels/Floors
Bedrooms
*
Bathrooms
*
Parking/Access Details
Service & Scheduling
Service Type
*
Signature Residential Refresh (Recurring)
Short-Term Turnover (Short Notice)
Nesting Home Preparation (Short Notice, for New and Expecting Mothers)
Other
Frequency
*
Weekly
Bi-weekly
Every 3 weeks
Monthly
Custom
Preferred Days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred Time Window
*
Morning (8am–12pm)
Afternoon (12pm–4pm)
Evening (4pm–8pm)
Night (8pm–12am)
Flexible
Preferred Start Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Flexibility Notes
Home, Occupancy & Cleaning History
Number of people in home
Number of pets in home
General condition
*
Lightly used
Average
Heavily used
Needs significant attention
Typical occupancy during cleaning
*
Empty
Partial occupancy
Occupied
Unknown
Pet notes
Sensitivities, or product preferences
Last professional clean
Please Select
Within 1 month
1-3 months ago
3-6 months ago
6-12 months ago
Over 1 year ago
Never
Unknown
Short-term rental status
Yes
No
Priorities, Restrictions & Access
Cleaning priorities
*
Kitchen
Bathroom
Bedroom
Floors
Walls (Spot Wipe)
Walls (Wash)
Appliances
Dusting
Baseboards
Cupboard Fronts
Mirrors / Glass
High-touch Points
Other
Flooring types, select all that apply.
Hardwood
Carpet
Laminate
Linoleum
Vinyl
Tile
Concrete
Other
Additional Services
Exterior Windows
Surface Renewal (Siding / Pavement)
Gutter Cleaning & Drainage Care
Carpet Refresh (Steam / Shampoo)
Garage Refresh
Mobile Auto Detailing
Other
Access method
*
Key provided
Lockbox
Access code
Security code
Other
Additional instructions.
How did you hear about us?
*
Please Select
Internet
Referral
Realtor
Social media
Flyer
Other
Promo Code
Submit
By submitting this form, you consent to Serene Home & Property Services collecting and using your contact information to respond to your inquiry, provide service-related communication, and send occasional follow-ups or offers. You may opt out at any time.
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