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Luxury Home Cleaning Request Form
Ready to reclaim your time and enjoy a beautifully clean home?
Experience a higher standard of clean with Kay's Cleaning Services.Where every detail matters and shines!
Luxury Clean. Heartfelt Service
* Indicates required question
Email
*
Your email
Logo
First & Last Name
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Preferred method of contact?
*
Call
Text
Email
No Preference
Required
What type of cleaning are you looking for?
*
Standard
Deep Clean
Move In/Out Cleaning
Organizing services
Specialty Cleaning
Other:
Required
How often are you looking for services?
*
Weekly
Bi-Weekly
Option 3
Once a month
seaonal
every 3 weeks
Bi Monthly
Other:
Required
Are you interested in additional services?
Inside fridge cleaning
Inside oven cleaning
Inside window cleaning
Other:
Clear selection
City you live in?
Your answer
What type of home do you have?
*
Apartment Home
Townhouse
Single Family Home
Duplex
Muli-Family under 4 units
Other:
How many bathrooms?
*
Your answer
How many Bedrooms?
*
Your answer
Is there a basement included?
Yes
No
Other:
Clear selection
Do you have any pets? If yes, How many?
*
Your answer
Preferred Date and Time for Cleaning?
*
Your answer
Special Requests or Instructions?
*
Your answer
How did you find us?
*
Online search
Referred
Social Media
Flyer
Ads-Car Magnet
Other:
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