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

Cleaning Hours:

Monday - Friday. 9 am - 5 pm,

Office Hours:

Monday-Thursday 8 am - 4 pm Friday 8 am - 3 pm

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