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ASHEVILLE
GREEN HOME CLEANING QUESTIONAIRE
Start Your Services Today!
Full Name
Phone (123-123-1234)
Full Address: Address, City, State, Zip
How often do you want cleaning services?
Email
# of People That Live There - Adults/Children?
Special Surfaces in the Home?
Number of Bed's & Baths
Vaulted Ceilings
*
Yes
No
Square Footage of Home
Anything We Should Not Touch in the Home?
Sheet Changing Yes or No (Only 1 included-List Any Aditional Needed)
Trash/Recycle Located in Home?
Type of Floors
Pets or small children in the home/ please provide names of pets please?
Pet Peeves About Cleaning Your Home
Where Do We Park?
Problem Areas in the Home or Special Things You Would Like Done
Payment Type - Cash/Check/Credit Card
Trash Bags Located in Home?
How Do We Gain Entry
Any Additional Info Needed
Submit
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