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The Clean Maids
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Intake form
Help us serve you better
Name
*
Email address
*
What type of cleaning service do you require?
Please select at least one option.
Regular Cleaning
Deep Cleaning
Move-In/Move-Out Cleaning
Post-Construction Cleaning
Office Cleaning
What is the size of your home?
Select
Studio
1 Bedroom
2 Bedrooms
3 Bedrooms
4 Bedrooms or more
How frequently would you like the cleaning service?
Select
Weekly
Bi-weekly
Monthly
One-time Service
What is your preferred cleaning date?
What is your preferred cleaning time?
Are there any specific areas or items that require special attention?
Do you have any pets?
Select
Yes
No
How did you hear about us?
Select
Friend/Family
Online Search
Social Media
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Additional questions or comments
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