Name

Email

Phone

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How did you hear about us?

House size? (sqft)

Allergies? Please let us know if you have any allergies we should be aware of.

Condition of home?

Condition clean: My home is very tidy and thoroughly cleaned weekly (kitchen, bathrooms, dusting, vacuuming, mopping, etc.). I don't have any clutter. My floors are generally clean. Baseboards, cabinets, floors, and other surfaces need light cleaning. There is nothing that needs deep cleaning or scrubbing.
Condition average: My home is usually cleaned every two weeks. My kitchen countertops and cabinets are fairly clean but could use a little help. I may have some clutter, but it's not out of control. Surfaces were cleaned every couple weeks, bathrooms and kitchen deep cleaned every month, some soap scum starting, pet hair, fingerprints, dirt, and dust mild in condition.
Condition poor: My home needs a lot of help. It hasn't had a thorough cleaning in months. There is obvious clutter and quite a bit of dust, pet hair, or dirt. Bathrooms have thick scum and debris on surfaces; kitchen needs deep cleaning and scrubbing..

Total number of bathrooms?

Total number of bedrooms?

Finished basement? Does it require cleaning?

Other Rooms

Types Of Floors?

Additional Services

Pets? What kind and how many?

Your Address?

Other information we should know?

Questions?

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