Apt/Suite # (if applicable)
Is this a home, business or apartment?
What is the size of the area to be cleaned?
---1 bedroom apartment2 bedroom apartment3 bedroom apartmentUnder 1500 sq foot Home or Office1500 sq foot Home or Office2000 sq foot Home or Office2500 sq foot Home or Office3000 sq foot Home or Office3500 sq foot Home or Office4000 sq foot Home or Office4500 sq foot Home or Office5000 sq foot Home or Office5500 sq foot Home or Office6000 sq foot Home or OfficeOver 6000 sq foot Home or Office
Number of bedrooms? (Home or Apartment only)
Number of baths? (Home or Apartment only)
---11 1/222 1/233 1/244 1/255+
Number of levels?
Do you have pets? If so, how many and what type please.
Type of clean requested
WeeklyBi-weeklyEvery 3 weeksMonthlyMove-in CleanMove-out CleanOne-time (as needed clean)Other
Do you want refrigerator and/or oven cleaning? ($40 extra charge each)
---NoOven onlyRefrigerator onlyBothOven and Refrigerator
What level of cleaning service do you want?
---Basic cleanDeep cleanDon't know
Any other information enter it here:
How did you hear about Personal Touch House Cleaning Services? (required)