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Step
1
of 3
Name
*
First
Last
Phone
*
Email
*
Address of home to be cleaned:
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
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Let's Get Started
Layout
What is the total square footage of the home?
*
Does the total square footage include a basement recreation area?
*
Yes
No
How many bedrooms?
Selected Value:
1
How many full bathrooms?
Selected Value:
1
How many half bathrooms?
Selected Value:
1
Do you have pets?
*
Yes
No
How many pets do you have?
Selected Value:
1
Type of Residence
*
1.5 story
2 story
2.5 story
Apartment
Bi Level
Split level
Condo
Bungalow
Mobile Home
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Frequency of Home Cleaning Services
Frequency:
*
Single Clean
Weekly Clean
Bi-Weekly Clean
Monthly Clean
Spring/Fall Clean
Layout
Add-ons:
None
Upgrade to Deep Clean
Move In Clean
Move Out Clean
Inside Oven (not a self clean)
Inside Oven (self clean)
Inside Fridge (mostly empty)
Wash Inside Cabinet/Drawer
Window Washing (Per Pane)
Deep Clean Frequency
*
First Job Only
Every Cleaning
Inside Oven (self cleaning) Details
*
First Job Only
Every Cleaning
Inside Oven (NOT a self cleaning) Details
*
First Job Only
Every Cleaning
Inside Fridge Details
*
First Job Only
Every Cleaning
Wash Inside Cabinet or Drawer Details
*
First Job Only
Every Cleaning
How many Cabinets/Drawers?
Window Washing (per pane) Details
*
First Job Only
Every Cleaning
How many Window Panes?
How did you hear about Take Pride Cleaning?
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