Name

Phone

Email

Address of clean

Is cleaning done weekly, fortnightly, monthly, or once-off?
WeeklyFortnightlyMonthlyOnce-Off
How big is the space? (Square meters if possible.)

Number of bedrooms:

Number of bathrooms:

Number of staircase:

Do we have access to free parking up to 2 hrs minimum within 1 block of your home? If not could you provide a permit?
YesNo

How many people are in the home (including pets and children)?

What days and times are best for your ongoing clean?

When would you like to start?

How did you hear about us?