One-Time/Recurring Questionnaire

Please complete this form as accurately as possible so that we can provide you with the best estimate for your cleaning!

Name (First & Last):

Email:

Phone:

Street Address:

City, State and Zip code:

How did you hear about us? *

What is your birth month?

Type of Cleaning Service?*

Type of Home*

What is the total square footage of your home?

Total # of Bedrooms*

Do you want any bed linens changed?*

Total # of Bathrooms?*

Are there any rooms or areas of your home that you do NOT want cleaned? If yes, please explain:

Do you have any children living at home?*

Do you have indoor pets? If yes, how many? Please describe:

On a scale of 1 to 10, with 10 being the dirtiest, what # would you rate your home? *

Describe the type of dirt currently found in your home (ie: grease buildup, pet hair, excessive dust...)

Does your home have a wood burning or pellet stove?

Has there been a history of smoking in your home?

Is there a history of frequent candle burning or incense burning in your home?

On a scale of 1 to 10, with 10 being excessive clutter, what # would you rate your home?*

On a scale of 1 to 10, with 10 being heavily decorated, what # would you rate your home?*

What type of flooring do you have in your home? (Examples, Hard wood, Engineered Hard wood, Laminate, Vinyl, Tile Etc.)

What type of bath tubs/showers do you have in your home? (Examples, Tiled shower, Tub/Shower combo, Tiled shower with glass door Etc. )

Are there any specialty surfaces that need special care? i.e copper, quartz counters, natural stone etc

Are there any areas that have more than average build-up that may need special care?

Have you ever had your home professionally cleaned?*

If YES, when was the last time your home was cleaned? Why did you discontinue your services?

What is your #1 priority regarding your cleaning services?

Any additional notes that you would like to add?