Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Your Full Service Address *Contact Phone Number *Cleaning Frequency *DailyWeeklyMontlhyNumber of Bathrooms *11.522.533+Do any of your bathrooms have a tub separate from the shower, if so how how many?Do any of your bathrooms have a double sink vanity, if so how many?Do any of your bathrooms have glass shower enclosure if so how many?Number of bedroom's *123456Bedroom Flooring TypeCarpetHardwoodLinoleumTileCarpet/HardwoodHow many rooms are carpeted and/or hardwood of the total. would stainless Include Number of Staircases123Include Kitchen Cleaning? *YesNoEat-in Kitchen?YesNoWhat is your kitchen floor type?HardwoodLinoleumTileStove TopGas Range BurnerGlass Electric Cook TopDo you have stone counter tops?i.e Granite, Marble, Quartz, etc. Do you have stainless steel appliances? YesNoSomeInclude Livingroom Cleaning? *YesNoLivingroom Flooring TypeCarpetHardwoodLinoleumTileCarpet/HardwoodInclude Family Room Cleaning? *YesNoFamily room Flooring TypeCarpetHardwoodLinoleumTileCarpet/HardwoodInclude Dining room Cleaning? *YesNoDining Room Floor TypeCarpetHardwoodLinoleumTileCarpet/HardwoodInclude Home Office? *YesNoHome Office Flooring Type?CarpetHardwoodLinoleumTileCarpet/HardwoodInclude Sun room? *YesNoSun room Flooring TypeCarpetHardwoodLinoleumTileCarpet/HardwoodInclude Mudroom? *YesNoMood room Flooring Type?CarpetHardwoodLinoleumTileCarpet/HardwoodInclude Entry/Breezeway? *YesNoEntry/Breezeway Flooring TypeCarpetHardwoodLinoleumTileCarpet/HardwoodInclude Laundry Room? *YesNoLaundry Room Flooring TypeCarpetHardwoodLinoleumTileCarpet/HardwoodInclude Finished Basement? *YesNoFinished Basement Flooring TypeCarpetHardwoodLinoleumTileCarpet/HardwoodAny additional unspecified rooms needed to be cleaned?(i.e anything unmentioned prior)Do you have any french doors?YesNoHow dusty would you rate your home currently?No Dust (Kept up on frequently)Some Dust (Kept up on every 1-2 months)Dusty (2+ months since last cleaning)How cluttered would you rate your home currently?SpotlessCould use some organizingNeeds a lot of organizingWhen was your last professional cleaning? (If ever)Do you own a GOOD working vacuum?YesNoSubmit