| |
|
| First Name: |
|
| Last Name: |
|
| Address: |
|
| Phone: |
|
| E-mail: |
|
| |
| How did you hear about us? |
|
| What kind of cleaning are you inquiring about? |
|
| How often do you want service?
(ex. once, daily, weekly...) |
|
| On which day(s) would you prefer to receive service? |
|
| In what type of dwelling do you want service?
(ex. apartment, house, loft, office...) |
|
| |
|
|
|
| How many floors? |
|
|
| How many flights of stairs? |
|
|
| How many bedrooms? |
|
|
| How many bathrooms? |
|
|
| |
| What type of kitchen do you have?
(ex. galley, kitchenette, island...) |
|
| Please list the types of rooms you have.
(ex. den, parlor, play room, family room...) |
|
| Please list any pets you may have. |
|
| When is the best time to contact you? |
|
| |
|
|
|
|
|
|
