Client Intake Form – Peaceful Spaces Cleaning Co.

Thank you for choosing Peaceful Spaces Cleaning Co. Please complete this form so we can tailor our services to your home and preferences.

Client Information

 

  • Full Name (required)

  • Phone Number (required)

  • Email Address (required)

  • Preferred Method of Contact

    • Phone

    • Text

    • Email

Service Address

  • Street Address (required)

  • City (required)

  • Zip Code (required)

  • Is this address the same as the billing address? (yes/no)

Property Details

  • Property Type

    • House

    • Apartment

    • Condo

    • Townhome

    • Other

  • Approximate Square Footage

  • Number of Bedrooms

  • Number of Bathrooms

  • Number of Levels

    • One

    • Two

    • Three or more

Service Type Requested

 

  • Standard Cleaning

  • Deep Cleaning

  • Move-In Cleaning

  • Move-Out Cleaning

  • Post-Construction / Remodel Cleaning

  • Organization Services

  • Not sure yet / please advise

Cleaning Preferences

  • Areas you would like us to focus on (long text)

  • Areas to avoid (long text)

  • Cleaning product preference (dropdown)

    • Company-provided products

    • Eco-friendly products

    • Client-supplied products

  • Allergies or sensitivities (scents, pets, chemicals) (long text)

Pets

  • Do you have pets? (yes/no)

  • If yes, what type and how many? (short text)

  • Will pets be present during cleaning? (yes/no)

  • Do you have any special instructions about pets? (long text)

Recent Remodels or Construction

  • Has there been any remodeling or construction in the last 12 months? (yes/no)

  • If yes, what type of work? (long text)

  • Approximate completion date (date)

  • Is construction dust still present? (yes/no)

Flooring Details

(Short text or number fields)

  • Hardwood – number of rooms

  • Tile – number of rooms

  • Carpet – number of rooms

  • Laminate / Vinyl – number of rooms

  • Stone – number of rooms

  • Area Rugs – number of rooms

  • Other flooring (please specify)

Access Information

  • How should we access the property? (dropdown)

    • Client will be present.

    • Key

    • Lockbox

    • Door code

  • Alarm system present? (yes/no)

  • Alarm instructions (long text)

Photo Upload (Optional but Highly Recommended)

(Webador file upload field)

  • Upload photos of:

    • Flooring

    • High-traffic areas

    • Remodel/construction areas

    • Areas of concern

(Text note below upload field)
Photos help us provide the most accurate estimate and service plan.

Additional Notes

(Long text)

  • Is there anything else we should know about your home?

Acknowledgment

(Checkbox – required)

☐ I confirm that the information provided is accurate and grant Peaceful Spaces Cleaning Co. permission to perform cleaning services based on this information.

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