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Clean Inquiry Form
Name
*
Phone Number
*
Email Address
*
Address (including postcode)
*
NDIS number (if applicable)
How many bedrooms are in your home?
*
How many bathrooms are in your home?
*
How many kitchens are in your home?
*
How many levels is your home?
*
What cleaning services are you interested in?
*
What cleaning services are you interested in?
General clean (kitchen, bathrooms, living, bedroom & floors (if linen change or washing required please select below as not included)
Kitchen
Bathroom/s
Living area/s
Washing
Linen Change
Ironing
Floors
Spring clean
Bond clean
Discuss options based on budget
If linen change required, how many beds? (please have linen on correct beds to be changed)
*
If linen change required, how many beds? (please have linen on correct beds to be changed)
A
0
B
1
C
2
D
3
E
4
F
5
Please list any additional tasks you might like below
Availability- please list as many preferred days or mornings/afternoons preferences as possible
*
What condition is the property usually kept in?
*
What condition is the property usually kept in?
A
generally clean & well maintained
B
lived in
C
cluttered and in need of some TLC
D
very messy
Frequency
*
Frequency
Weekly
Fortnightly
Monthly
How did you hear about us?
*
Do you grant permission for pictures to be shared on social media for advertising purposes only? (Please note no personal items, photos of anyone in home will be in shots, & no personal information will be shared in these posts)
*
Do you grant permission for pictures to be shared on social media for advertising purposes only? (Please note no personal items, photos of anyone in home will be in shots, & no personal information will be shared in these posts)
A
Yes
B
No
Once off
Submit
