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Residential
Commercial
Company Name
First Name/Last Name:
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Zip:
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Best Phone#:
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Home
Cell
Work
Email Address:
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How did you hear about us?
How did you hear about us?
Car Magnet
Cleaning for a Reason
Door hanger
Facebook
Faith and Family Magazine
Google Search
Home Advisor
Instagram
Nextdoor
Pierce Street Bagel
Referral
Unsure
Yelp
When was the last time your home was professionally cleaned?
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Select Your Option
Less than 1 month ago
Over 1 month ago
Never
Square Footage
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< 1,000
1,000 - 1499
1,500 - 1,999
2,000 - 2,499
2,500 - 2,999
3,000 - 3,499
3,500 - 3,999
4,000 - 4,499
4,500 - 5000
5,000+
Bedrooms
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None
1
2
3
4
5
6
7+
Bathrooms
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None
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6+
Finished Basement
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Yes
No
Pets
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Cat(s)
Dog(s)
Both
Other
None
Adults
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1
2
3
4
5
6+
Vacant
Children
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None
1
2
3
4
5+
Condition of Home
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1 (Immaculate - Does someone live here?)
2 (Exceptional - tidy and cleaned almost daily)
3 (Good - relatively clean)
4 (Marginal - light dust and build-up)
5 (Average - lived-in with some dust/build-up)
6 (Moderate - lived-in with medium dust/build-up)
7 (Fallen Behind - build-up throughout)
8 (Challenging - heavy dust and soap scum)
9 (Very Challenging - deep scrubbing is needed)
10 (Most Challenging - needs intensive detailing)
Clutter Level
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Select Your Option
1 (None)
2 (Minimal)
3 (Normal)
4 (Fairly Cluttered)
5 (Very cluttered)
I'm interested in the following
Recurring Maintenance Cleaning
One-Time Clean
Moving Clean
Post-Renovation Clean
Organizing
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