Street Address Line 2
State / Province
Postal / Zip Code
Number of Bedrooms
Number of Bathrooms
How many stories is your home/property?
How many people live in your household?
Approximate percentage of non-carpeted flooring
Do you have any shedding pets? If so, how many?
Describe your current environment, check all that apply
Many knick-knacks and collectables
Kids messes are typical
Pet messes are typical
Home is tidy and maintained
We don’t have time to tidy up!
What statement best describes the current nature of your home? Check all that apply
Bathroom has built up soap scum and grime
Bathroom is fairly clean
Kitchen has grime and grease
Kitchen is relatively clean
House has heavy dust
House has minimal average dust
Heavy pet hair throughout the home
On a scale from 1-10, 1 being the cleanest and 10 being the dirtiest, what is the current condition of your home, office or rental?
Type of cleaning (please reference our cleaning checklists)
Move In/Move Out Cleaning
Do you have a budget in mind that you'd like to stick with?
Please list any additions or omissions to the cleaning you selected above
Main Areas Of Concern (check all that apply)
Frequency of Cleaning
One Time Cleaning
Preferred Start Date
Preferred Cleaning Days (check all that apply)
Preferred Cleaning Time (check all that apply)
Please provide any special information or instructions
How did you hear about us?
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