Name
*
Phone
*
Email
*
Street Address
*
Apartment
Postal Code
*
Number of people living in the home?
Number of furry friends?
Is this a smoking home?
Yes
No
Overall clutter in the home?
Very Cluttered
Cluttered
Average
Tidy
Very Tidy
Overall dust within home?
No dust!
Just a coating!
Dust bunnies live here too!
Is your kitchen used daily?
Yes
No
Has your space been serviced by professional cleaners within the last three months?
Yes
No
Add-on Options?
Oven Cleaning
Refrigerator Cleaning
Window Cleaning
Glass shower door restoration
Changing Linens
Waste paper Basket/Trash Removal
Grout Cleaning
Faux wood blinds
Dish washingÂ
Stainless Steel Scratch Repair
Baseboard RevitalizationÂ
Carpet Cleaning
Commercial Floor Cleaning
Weekly
Biweekly
Monthly
At what frequency do you prefer recurring services?
Is your basement included in the square footage?
Yes
No
Please list any rooms you are NOT including in your cleaning.
As the potential client, I understand that this estimate form calculates the cost of an INITIAL cleaning. I understand that HPCS office staff will calculate a price for recurring service based on the frequency I prefer.
I understand!
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