Name
*
First Name
Last Name
Email
*
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Do you have a coupon code or gift card?
Yes
No
Enter coupon code or gift card # here:
Number of bedrooms
Number of bathrooms
Approximate square footage
Is this a single level, or multi-level home?
Does anyone smoke inside the home?
Have you ever had a housekeeper? If so, what did you like/dislike about the experience?
What are your goals for your housekeeper?
Which areas of your home are you most concerned about?
Is there anything specific in your home that you don’t want moved or touched?
Does anyone in your home have any allergies to specific scents or products?
Do you have any scent likes/dislikes?
Are there any cleaning products that you want/do not want used in your home?
Do you have any pets? If so, what type and what are their names?
Do you have any children? If so, please let us know if any of your children are crawlers or have special accommodations or needs? (Like not to use the doorbell, etc.)
Are you interested in maid services such as washing dishes, laundry, or changing bedding? If so, please indicate which tasks you would like your housekeeper to complete.
Will you be home at the time of service? If not, please provide a door code, garage code, location of a hidden key, or how you would like the housekeeper to gain entry into your home.
Will your pet(s) be home at the time of service? If so, please indicate where your pet(s) will be and if there are any concerns the housekeeper should know about. (Or commands, location of treats, etc that may be useful to your housekeeper.)
Where are your outside trash cans located?
Where is the best place for your housekeeper to park?
Are you interested in a one time clean, or recurring cleaning services? If you're interested in recurring services, how frequently would you like your housekeeper to come to your home?
Which day of the week do you prefer?
Which day would be your second preference?
Which time of day do you prefer?
How many hours do you think it will take to complete the cleaning and services you’re interested in?
Please choose your preferred start date.
We cannot guarantee this will be your start date.
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Please feel free to share anything else with us that you feel may be useful: