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* Indicates required question
Email
*
Your email
First
Name and
Last
Name
*
Your answer
Company Name
(If applicable)
Your answer
Phone Number
(Message and data rates may apply)
*
Your answer
Full
Address
(Full address is required including apartment number)
*
Your answer
How many floors?
*
Choose
1
2
3
4
5
6
7
8+
Property Type
*
Choose
Studio
Apartment
Loft
Condo
House
Office
Other (Specify in description box at the bottom of this form)
Square footage of the property
*
Choose
1 - 999 Sq. Ft.
1000 - 1499 Sq. Ft.
1500 - 1999 Sq. Ft.
2000 - 2499 Sq. Ft.
2500 - 2999 Sq. Ft.
3000 - 3499 Sq. Ft.
3500 - 3999 Sq. Ft.
4000 - 4499 Sq. Ft.
4500 - 4999 Sq. Ft.
5,000 Sq. Ft. +
How many bedrooms?
*
Choose
1 Bedroom
2 Bedrooms
3 Bedrooms
4 Bedrooms
5 Bedrooms
6 Bedrooms
7 Bedrooms
9 Bedrooms
10 Bedrooms
11 Bedrooms+
N/A
How many regular bathrooms?
*
Choose
1 Bathroom
2 Bathrooms
3 Bathrooms
4 Bathrooms
5 Bathrooms
6 Bathrooms
7 Bathrooms
8 Bathrooms +
N/A
How many half bathrooms?
*
Choose
1
2
3
4
5
6
7
8 +
N/A
Any other rooms inside the home?
(ex: office spaces, common areas)
Choose
1
2
3
4
5
6+
N/A
Select the service(s) you need:
*
Choose
High Profile (NDA’s)
Post Construction Cleaning (Clarify in description box what phase of cleaning needed. Example: Phase 1 Rough Clean, Phase 2: Light Clean, Phase 3: Final Clean)
First Time Booking with EcoLiving Cleaning Solutions
Returning Client (4+ weeks without services)
Referral Client (New Client (Please let us know who referred you!)
Move Out/ Move In (End of Lease)
Cleaning After Party / Gathering
Office Cleaning
Commercial /Business Cleaning
Real State Cleaning
AirBnB
Disinfecting / Sanitation Only
Government Facility
Schools/ Day Care
Food Service Cleaning
Health Care Cleaning
Other (Specify in description box below)
Do you need a Non-Disclosure Agreement (NDA)?
(Optional)
Choose
Yes
No
Would you be comfortable with us recording our cleaning services for social media content, ensuring that no personal or private information will be included? Your approval is greatly appreciated and helps others see the quality of our work when choosing a cleaning service.
*
Choose
Yes
No
Do you have any pets?
*
Choose
No
1
2
3
4
5+
Window Cleaning Services Quote
Interested in interior window cleaning? Please specify the number of standard-sized windows you need serviced.
Choose
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24+ (Specify exact quantity in description box)
Window Screens
Fiberglass Screen / Window Screen Dusting (Specify quantity in description box)
Choose
1
2
3
4
5
6
7
8
9
10
11+
Glass Doors
Do you want any s
liding glass doors, glass doors, patio doors cleaned? (Specify the quantity)
Choose
1
2
3
4
5
6
7
8
9
10+
Ceiling Fans
Do you want to have any ceiling fans cleaned?
(Specify the quantity)
Choose
1
2
3
4
5
6
7
8
9
10+
Blinds
Do you want any window blinds dusted?
(Specify the quantity)
Choose
1
2
3
4
5
6
7
8
9
10+
Walls
Would you like any walls to be dusted / dry wiped?
(Specify the quantity)
Choose
1
2
3
4
5
6
7
8
9
10+
Laundry Services
Specify number of loads in description. (Washing machines need to be inside the property/unit. 1 load includes: washing, drying, and folding)
Choose
1
2
3
4
5
6
7
8
9
10+
Select Add Ons / Extras:
(Optional)
Heavy Duty (3 months without professional cleaning)
Extra Heavy Duty Cleaning (6+ months without professional cleaning)
Wash 1 Sink Full of Dishes (If more loads needed specify number in description box)
Clean Baseboards
Clean Inside Oven
Sweep Inside Garage (Specify if other services are desired in description box)
Patio Furniture Dust /Wipe (Specify additional services desired for in description box)
Mold/Mildew Shower/Tub
Organization (Specify in details in description box.
Inside Refrigerator
Interior Restroom Cabinets
Exterior Restroom Cabinets
Cabinets Wet Wipe* (A selection on kitchen or restroom cabinets will be required)
Cabinet Dry Wipe* (A selection on kitchen or restroom cabinets will be required)
Exterior Kitchen Cabinets
Interior Kitchen Cabinets
Range Hood/Vent Hood / Kitchen Hood Cleaning (Hood above stove)
Exterior A/C Vent Dusting
Closet Vacuuming and/or Mopping
Closet Organizing
Cobweb Removal/ Spider Webs
Light Chimney Dusting
Upholstery Deep Vacuuming (Couches/ Bed frames/ Chairs)
Make the Bed (If clean blankets will be provided mention in the description box including the quantity)
Grout Cleaning (Specify what rooms in the home specifically need this service)
Clean Exterior and Interior House Trash Cans
Wet Wipe Light Switches
Wet Wipe Door Knobs
Carpet Cleaning Services Quote
Specify all that apply and send pictures or videos to 323-605-6405
- Number of carpeted rooms
- Total carpeted area (in sq. ft.)
- Specific stains or heavily soiled areas
- High-traffic areas needing extra attention
Stairs (Specify number of stairs/floors in description box)
Rug Cleaning (Specify number of rugs in description box)
Bedroom (Specify number of bedrooms/ rooms in description box)
Hallway (Specify number of hallways in description box)
Landing (Specify number of landing sections description box)
Entire Home
There are stains and spots in carpet that need special treatment (Specify in description box: oil, blood, urine)
What type of carpet do you have?
(Optional for
carpet cleaning
inquiries)
Choose
Polyester (P.E.T.)
Nylon
Natural Wool
Polypropylene (Olefin)
Triexta, Corona, SmartStrand
Berber
Shag
Loop Pile
Other (Specify in description box)
What type of flooring do you have?
(Optional)
Tile, Ceramic, Porcelain
Wood, Solid Wood, Laminate Wood
Mosaic, Cement, China, Glass
Natural Stone, Marble, Granite, Limestone, Travertine, Sandstone, Slate
Miscellaneous / Other (Specify in description box)
Tell us about your cleaning needs and additional details.
(Any special instructions/comments/ avoiding certain areas)
Description box*
*
Your answer
Are there any areas of the property that are off limits to the cleaning technicians?
Your answer
Entrance Details: How can our cleaning technicians enter the property?
(Specify description box below)
*
Choose
Someone will be at the property to allow entry
There is a code to enter (Specify in description box)
I will hide key (Specify in description box)
I will keep key with provider
Digital Access Will Be Granted (Code sent via text)
Lock Box (Code of lock box will be given)
Other (Specify in description box below)
Parking
:
We will charge a parking fee of 2 hours minimum, or more depending on the length of service. To avoid this fee, please provide us with a parking space in the complex/ apartment building
.
REQUIRED
*
Choose
I will provide parking (Details need to be provided before securing appointment)
I will cover full parking fee (Fee can be charged upfront or after service)
N/A Parking is free and readily available and near entry.
How did you hear about us?
(Optional)
Choose
Google
Instagram
Facebook
Referral (When contacting us please give us the full name of the person who referred)
Repeat Customer
Business Cards
Business Shirts
Other
Desired date of service:
*
MM
/
DD
/
YYYY
Desired second best date of service:
*
MM
/
DD
/
YYYY
What is your budget?
(Optional)
Choose
$300.00-$380.00
$380.00-$480.00
$480.00-$580.00
$580.00-$680.00
$680.00-$780.00
$780.00-$880.00
$880.00-$980.00
$980.00-$1,080.00
$1,080.00-$1,180.00
$1,180.00-$1,280.00
Other / Commercial Cleaning
Long Term Contract
What are your preferred
arrival
times?
(Optional)
Morning
Afternoon
Evening
Cleaning Frequency
*
Choose
One Time
Daily
Every Other Day
Weekly
Every 2 Weeks
Every 3 Weeks
Monthly
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