Cleaning Services Intake Form
Full Name
Address
Phone Number
Email
Which type of property are you inquiring about?
House
Apartment
Condo
Business
Rv
Other
Square Footage of Home
Number of Bedrooms
Number of Bathrooms
Flooring Type (Select all that apply)
Carpet
Hardwood
Tile
Other
Do you have pets?
Dog, cat, etc.
Yes
No
Are there any areas of your home that require special attention or cleaning?
Are there any areas of your home that are off-limits?
Are there any particular cleaning products you would like to avoid?
How often would you like to schedule cleaning services?
Weekly
Bi-Weekly
Monthly
One-time Cleaning
Other
Preferred day of the week for cleaning?
Monday
Tuesday
Wednesday
Thursday
Friday
Were you referred? If so, by whom?
Send it
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