Name :
Address :
City :

Postal Code :

Phone # :

Alternative Phone # :

Email address :
   
Type of your home :
Size of your home :

sf.

How many levels ?
How many rooms would you like to have cleaned?

How many bathrooms would you like to have cleaned?
   

Rooms to be cleaned: :

Bedrooms
  Bathrooms
  Kitchen
  Living room
  Office
  Laundry room
  Stairways
  Playroom
   
How many people lives in your home ?
How many children lives in the your home ?

Do you have pets that shed ?

if yes how many ?

How will we access your home? : you neighbour other - please specify
Frequency of the service:
   
Would you like to have whole home cleaned? if yes, skip next question.

Please tell us what would you like to have cleaned ?

Ktchen : Bathroom : Other rooms :
countertops countertops light organizing
sink clean, disinfect sink, toilets, shower dust furniture
appliances (exterior) mirrors dust wall hangings
inside of the microwave outside of cabinets mirrors
polish stainless steel clean floor dust other small objects
outside of cabinets empty waste basket   windows sils
load dishwasher replace towels clean floors+carpets/ hardwood floor
stove / is this gas stove ?   remove cobwebs
clean window over the kitchen sink   empty waste baskets
clean floor  

change bed linens + make bed
    clean entry door
     
     

Additional comments :

Additional comments : Additional comments:

Additional services :

oven cleaning

windows (interior only)

refrigator

inside of cubboard / please tell us where : Will cabinets be emptied ?

high dusting + light fixtures

Additional comments :

 

Please estimate.