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Prime Care Cleaning — New Client Intake - Standard Clean

Tell us a little about your home so we can understand what you need and prepare an accurate quote. Once you submit the form, we’ll review your request and follow up with pricing and next steps.

Full Name

*

Email Address

*

Phone Number

*

Service Address

*

ZIP Code

*

What type of home are we cleaning?

*

A

Apartment

B

House

C

Condo

D

Other

Number of Bedrooms

*

Number of Bathrooms

*

Approximate Square Footage

*

A

Under 750 sq. ft.

B

750–1,000 sq. ft.

C

1,001–1,500 sq. ft.

D

1,501–2,000 sq. ft.

E

2,001+ sq. ft.

F

Not sure

How would you describe the current condition of the space?

*

A

Light upkeep

B

Average lived-in condition

C

Needs extra attention

D

Significant buildup / hasn’t been cleaned recently

Has the home been professionally cleaned within the last 30 days?

*

A

Yes

B

No

Are there pets in the home?

*

A

No

B

Yes — dog

C

Yes — cat

D

Yes — other

Are there any areas that need special attention?

Are you interested in any additional services?

Inside refrigerator

Inside oven

Interior windows

Laundry

Other

How often are you looking for cleaning?

*

A

One-time

B

Weekly

C

Every two weeks

D

Monthly

E

Not sure yet

Is there anything we should know about entering or accessing the space?

Thank you! Once you submit your request, we’ll review the details and send you a quote. If we need any additional information, we’ll reach out. Otherwise, you’ll receive a link to choose your cleaning time.