Business name *

Full Name *

Your Role *

Mobile *

Email *

Street Address *

City *

Postal Code *

Type of premises *

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Approximate floor area *

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Number of levels *

Select an option

Areas on site (tick all) *

Open office

Private offices

Reception

Kitchen or kitchenette

Toilets

Meeting rooms

Retail floor

Storeroom or back-of-house

Staff room

Outdoor entry area

Number of toilets *

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Number of kitchens or kitchenettes *

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Approx. number of staff on site daily *

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Main floor types (tick all) *

Carpet

Tiles

Vinyl

Timber or laminate

Polished concrete

Mixed

How often would you like cleaning? *

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Preferred cleaning time *

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Consumables (bin liners, toilet paper, soap) *

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Any specific requirements? *

Do you currently have a cleaner? *

Yes

No

Transitioning

How would you describe the current condition? *

Well maintained, just needs regular upkeep

A bit behind, needs a solid reset

Neglected, needs serious attention

When would you like to start? *

Select an option

Acknowledgement

Understood — my recurring quote will follow a first service