All-Appointment Intake Form

  • Appointment Intake Form

  • Format: (000) 000-0000.

  • Trash Friends does NOT send marketing texts. However, we do all of our communications through text. 

    Messaging frequency varies. Message and data rates may apply. You can opt-out at any time by replying "STOP." 

    Privacy Policy: https://www.openphone.com/policies/OR9lWzA2pU

  • Trash Friends does NOT send marketing emails, and we will only email you if you specifically request it, if you are requesting virtual body doubling services, or if your phone number appears to be incorrect.

    People do frequently mistype their phone numbers, so we do highly recommend you leave an email so we have an alternative way of contacting you to schedule your appointment, if needed.

  • I would like the following services:
  • How frequently are you requesting services?
  • Do you have a specific deadline by which you need the cleaning completed?
  •  - -
  • Do you plan to be at home while the cleaner/handyperson is present?
  • Do you have any pets?
  • Do you have an unusually large amount of pets, or are you hoarding animals in your home?
  • Are you sensitive to scents?
  • Would you like your cleaner/handyperson to wear an N95 mask in your home?

  • Cleaning Questionnaire

  • Has it been more than 3 months since you've had a thorough cleaning?
  • Would you like any add-ons?
  • Do you have an unfurnished basement you would like cleaned?
  • Do you have a vacuum cleaner the cleaner can use? Roombas do not count.
  • Do you have a toilet scrubber brush?
  • Do you currently have or over the course of your cleaning schedule, expect to have heavy garbage, or a large amount of garbage that needs to be taken out?
  • Are any of the following elements present in your home or in areas that you would like to have cleaned? Please select all that apply. There is no shame - we will still service your home, we just need to make sure we send the correct people for the job.

  • Decluttering Questionnaire

  • Which statement describes your home?
  • I have been diagnosed with, or suspect I have (select all that apply):
  • Image field 66
  • Using the image above, please identify the level of clutter in your kitchen
  • Image field 68
  • Using the image above, please identify the level of clutter in your living room
  • Image field 70
  • Using the image above, please identify the level of clutter in your bedroom(s)
  • Using the images above, please identify the level of clutter in your bathroom(s)
  • Using the images above, please identify the level of clutter in your closets, basement, or other storage areas
  • Are you planning to declutter soft goods, breakable items, or both?
  • If you are planning to declutter breakable items, are you able to collect your own boxes to box up fragile donations?
  • Would you like us to do a donation pick up after your decluttering session?
  • Do you have a large amount of garbage in your home?
  • Do you have any issues with hoarding human waste (urine, feces)? We will still work with you, we just need to send the appropriate cleaners.
  • Do you have issues with hoarding animals?
  • How long of an appointment window would you like us to allow for you? Keep in mind, we have a two-hour minimum, and do not recommend decluttering for more than 4 hours unless it is an emergency.

  • Handyperson/Miscellaneous Services Questionnaire

    If you are not scheduling handyperson services, please skip this page.
  • Which service were you interested in booking at this time?

  • About Your Residence

  • Please list the accurate number of bedrooms and bathrooms in your home, as would be detailed in a property listing. 

    We are NOT asking which rooms you need serviced. We are simply assessing the overal size of the home. 

  • The condition of my home is:
  • The structure of my home is:
  • Please choose which option best describes your home:
  • Do you currently have any infestations?
  • Are there high levels of mold in your home?
  • Are there high levels of dust in your home?
  • Do you smoke tobacco products in your home?
  • Do you have a gun in your home?
  • Is there any significant damage in your home (structural damage, leaks, non-working toilet, other major plumbing issues)?

  • Final questions

  • Many of our employees have experience working in other various mental health roles. If you work in mental health, and do not want to risk another mental health worker performing your service, please indicate here. We will send a cleaner/handyperson who does not have previous professional experience in the mental health field.
  • Trash Friends is passionate about helping immigrants and people with disabilities find jobs. Would you be okay with a cleaner/handyperson who is not a native-English speaker or has trouble communicating verbally; and will need to communicate via text or translator app?
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  • Would you be willing to let us take anonymous before/after photos and cleaning videos? (nothing personally identifying would be included)
  • How did you hear about us?
  • Should be Empty: