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Prime Care Cleaning — New Client Intake

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?

Apartment

House

Condo

Other

Number of Bedrooms

Number of Bathrooms

Approximate Square Footage

Under 750 sq. ft.

750–1,000 sq. ft.

1,001–1,500 sq. ft.

1,501–2,000 sq. ft.

2,001+ sq. ft.

Not sure

How would you describe the current condition of the space?

Light upkeep

Average lived-in condition

Needs extra attention

Significant buildup / hasn’t been cleaned recently

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

Yes

Are there pets in the home?

Yes — dog

Yes — cat

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

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

Want to help us quote more accurately? You can upload a few photos of the areas needing the most attention. (optional)

Accepts image files

Size limit: 10 MB

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.