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This form helps us understand your home, your needs, and how to best support you. Every home is different — and we honor that.

We'll get back to you within 48 hours with a custom quote and phone call or text.

5 Pages Total

About You and Your Home

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Type of Home?

Home
Apartment
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Do you own or rent this home?

Own

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Square Footage OR Beds/Baths

Page 1

Your Home Flow

Who Lives in the Home? Adults, Children, Pets...

Are there any health considerations or sensitivities we should be aware of?

Current Home Condition(No Judgment - We're Here to Help!)

Light mess

Moderate mess

Heavy mess / clutter

Smoke/odor issues

Unsanitary or unsafe areas

Page 2

Quick Deep Dive Into Your World -

We just want to get a better understanding of how we can serve you

What Prompted You to Seek Cleaning Support Right Now?

Feeling overwhelmed

Busy work schedule

New baby / postpartum

Health recovery or surgery

Mental load / burnout

Upcoming guests or event

Falling behind on upkeep

Just need support

Which areas cause you the most stress right now? Priority Areas to Focus On:

Kitchen

Bedrooms

Bathrooms

Laundry

Entire Home

Living Room

Cluttered surfaces

Entryway / Mobility Paths

ALL OF IT!

Which option feels closest to how you naturally operate at home? (Please choose the one that feels most accurate — even on your messiest days.

Everything Has a Place | I prefer systems, organization, and knowing where things belong. Visual order helps me feel calm.

Generally Tidy, But Lived-In | I keep things mostly under control, but life happens and clutter builds up between resets.

Functional Chaos | I know where things are, even if it doesn’t look organized to others.

Perfection-Oriented | I notice details quickly and have specific preferences for how things are done.

Overwhelmed / Behind Right Now | My systems aren’t working for this season of life and I need support catching up.

It Depends on the Day or Season | My home reflects what’s going on in my life more than a fixed system.

Is there anything about how you usually clean or maintain your home that you’d like us to know before we arrive?

Is there anything happening in your life right now that you’d like us to be mindful of while caring for your home?

Areas you DONT want to us to touch?

Page 3

Understanding YOUR Goals and Expectations

What Does a “Successful Clean” Mean to You?

Visual reset (clear surfaces, fresh feeling)

Sanitization & hygiene

Maintenance & consistency

Deep detail work

A calm, peaceful environment

If you had to choose one main goal for this service, what would it be?

Which ones matter MOST to you? (Please Pick Two)

Quality

Speed

Cost

Are there any materials or surfaces we should use extra care with?

Page 4

What Type of Service Do You Need?

💚 Memberships give you consistent care, better rates, and priority scheduling. One-time is perfect for deep cleans, move-outs, or trying us out first.

Membership Type?

2 visits/mo• $300-$600/mo | 4 visits/month • $600-$800/mo | One Time • $95/hr

Bi-Weekly Membership
Weekly Membership
One-Time Service
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Preferred Start Date?

While we do our best to honor preferred start dates, final scheduling depends on cleaner availability and ensuring the right fit for your home.