Cleaning Request Form

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Cleaning Request Form

Your Path to Spotless Excellence

Email *

Record my email address with my response

First & Last Name *

Email Address

Phone Number *

Property Address *

Type of Property *

Residential

Commercial

Other:

Priority Level *

Very High (ASAP)

High (Next Few Days)

Medium (Next Few Weeks)

Low (Month or Further)

What type of cleaning do you need? *

Standard Cleaning: Regular dusting, vacuuming, sweeping, mopping, bathroom and kitchen maintenance, general tidying.

Deep Cleaning: In-depth dusting, scrubbing grout, cleaning behind/inside appliances, washing walls, detailed cleaning of fixtures and surfaces

Standard Cleaning

Deep Cleaning

Move In/Out

Other:

Preferred Date of Service *

YYYY

Do you have a preferred time of day?

How many rooms will you need cleaned? *

Other:

How many restrooms will you need cleaned? *

Other:

Any pets inside the house? (Residential)

Pets in Home

No Pets in Home

Other:

Clear selection

How often are you seeking cleaning? *

Just Once

Every Week

Every 2 Weeks

Once a Month

Other:

Provide any additional request here:

Window Cleaning (interior/exterior)

Refrigerator Cleaning

Oven Cleaning

Other:

Clear selection

Are there any obstacles or challenges we should be aware of when accessing the areas to be cleaned?

How did you hear about our cleaning services?

Send me a copy of my responses.

Submit

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