Your Name

Email

Daytime Phone:

Evening Phone:

Preferred Contact Method:
EmailDaytime Phone (before 5 pm)Evening Phone (after 5 pm)

Address requiring cleaning services:

What type of service(s) do you need?
ResidentialCommercialPost-Construction / RenovationMove In / OutOther

What type of flooring is most common?
Mostly hardwood (includes laminate or tile)Mostly carpet

Service Frequency?
WeeklyBi-Weekly (every 2 weeks)Every 3 WeeksOnce a monthOther

Do you have a special date in mind?
YesNo

Do you need emergency services (e.g. less than 1 week's notice)?
Yes. Note this may involve a rush fee charge.No

Please note that for commercial services and special events, we ask that you call us so we can better understand your unique requirements.

Your Name

Email

Daytime Phone:

Evening Phone:

Preferred Contact Method:
EmailDaytime Phone (before 5 pm)Evening Phone (after 5 pm)

Address requiring cleaning services:

Approximate square footage of house:
Under 10001001 - 15001501 - 20002001 - 25002501 - 30003001 - 40004001 - 50005001 - 75007500+

How many rooms require cleaning? This includes bedrooms, offices, living rooms, and play areas:
1 - 33 - 56 - 1011 - 1516 - 2021+

What type of flooring is throughout your house? Check all that apply.
HardwoodCarpetLaminateTileLinoleumOther

How many full bathrooms?
12345+

How many half bathrooms?
12345+

Kitchen

Is your kitchen
SmallMediumLarge

Do you have

Fridge
Stainless SteelOther

Stove
FlattopNatural GasElectric CoilOther

Oven
Stainless SteelOther

Microwave
Stainless SteelOther

Garburator
Stainless SteelOther

Do you have a separate laundry room?
YesNo

Do you have: Check all that apply

Pets who will be in the house? What kind:
CatDogOther

Do you have children
YesNo

Is there anything else that we should be aware of that will help us further customize our cleaning services?