Cleaning Estimate Request Form

Collects home details and cleaning needs from a prospective client so a cleaning company can prepare an accurate price estimate before the first visit.

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Name

Nombre

Apellido

Cell Phone

Email Address

Address

Dirección

Ciudad

Estado / Provincia

Código postal

Total Bedrooms

Total Bathrooms

Number of bedrooms and bathrooms needing cleaned:

1. What Services are you interested in?

Standard cleaning Deep cleaning Move-in/move-out Window cleaning Carpet cleaning

2. Approximate square footage:

3. Any glass shower doors, if so, how many?

4. Any tile?

5. Any pets? (If so, type and number of pets)

6. Ever had a cleaner before?

7. Any problem areas or special projects?

8. How would you describe dirt level?

Not likely

1 2 3 4 5 6 7 8 9 10

Very likely

9. Are there any indoor smokers in the home?

10. How did you hear about us?

Google search Social media Referral Advertisement Other

Section

Client Signature

Sign here

Date

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