Message Subject:
Your Name:
City:
Email: (Required)
Phone Number: (Required)
How did you hear about us?: Google Search Angies List KSL Other
Ongoing Service Type: One Time Weekly Bi-Weekly Monthly
Type of cleaning: General Clean Deep Clean
Deep Clean Items to do:
Blinds/Shutters - How many?
Baseboards
Ceiling Fans - How many?
Cupboards Inside Outside
Doors/Door Frames
Light Fixtures
Oven
Refrigerator (inside)
Walls - Spot Clean Only Top to Bottom
Other
Deep Clean Notes:
How Many Bathrooms? How Many Bedrooms?
What is the square footage?
Do you have any pets? No Cat(s) Dog(s)
What kind of flooring is in the home? Carpet Hardwood Tile Linoleum Slate
Condition of the home? (1=Very Clean 10=Very Dirty) 1 2 3 4 5 6 7 8 9 10
When did you want the service done?
What is the best time of day to come? AM PM
Do we need to bring a vacuum? Yes No
Other Comments:
Contact me by: Email Phone
