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Contact The Cleaning Mom, LLC

Free Estimates and Prices Form!

FULL NAME*

EMAIL ADDRESS

PHONE*

HOME OR OFFICE ADDRESS*

APT/SUITE

CITY*

STATE*

ZIP CODE*

(1) CAN YOU PROVIDE US WITH ACCURATE SQUARE FOOTAGE OF YOUR HOME OR OFFICE SPACE? Select all that apply.*

(2) TOTAL NUMBER OF BLINDS IN YOUR HOME OR OFFICE? IF YOU DON'T HAVE ANY BLINDS PLEASE TYPE NONE. FYI: we do not dust or individually wet wipes plastic or vertical blinds as they are very easy to bend or break.*

*3) DO YOU HAVE ANY PREFERENCES IN CLEANING SUPPLIES? *

(4) DO YOU NEED ADDITIONAL SERVICES?*

(5) HOW MANY BED OR SHEET CHANGE WOULD YOU NEED?*

(6) HOW MANY HOUSEHOLD MEMBERS OR OFFICE STAFF?*

(7) SELECT AN ESTIMATE TIME BASE ON THE TOTAL NUMBER OF ROOMS YOU HAVE IN YOUR HOME. Examples: (bedroom, bath, office, dinning, game and movie room, kitchen, guest house, other, etc. This estimate time are for basic cleaning with one cleaner, should we send two or three cleaner, the time to complete your home will be less. *

(8) WHAT TYPE OF FLOOR DO YOU HAVE IN YOUR HOME? (Select all that apply)*

(9) WHAT TYPE OF CLEANING YOU NEED AND HOW FREQUENTLY? (Select all that apply)*

(10) DO YOU WANT YOUR FLOOR/CARPET CLEAN WITH A WATER VACUUM CLEANER OR REGULAR VACUUM?*

(11) OUR PRICES ARE BASE PER HOUR & PER CLEANER(s) If you don't need your entire home clean. Please choose, what is best for your budget, if you don't need your entire home clean. We will work on your priority areas. However, understand your size home, condition, numbers of pets and extra task you may need, when choosing an estimate time below and how many cleaner you may need.. *

(12) WHEN WAS LAST TIME YOU OR A PROFESSIONAL COMPANY CLEAN YOUR HOME OR OFFICE? Please note, that your selection below, will determine the type of cleaning that your home may need. So, be honest about it. Thank you!*

(13) IN A SCALE OF 1 - 4, DESCRIBE THE CURRENT CONDIITON OF YOUR HOME OR OFFICE?*

(14) PLEASE SELECT ALL THAT APPLY. I HAVE CERTAIN AREAS IN MY HOME OR OFFICE SPACE THAT MAY NEED MORE ATTENTION.*

(15) DO YOU WANT FULL HOUSE/OFFICE CLEANING OR CERTAIN AREAS? *

(16) HOW MANY BATHROOM DO YOU NEED CLEAN IF YOU DONT NEED YOUR ENTIRE HOME? *

(17) HOW MANY ROOMS DO YOU NEED CLEAN, IF YOU DONT NEED YOUR ENTIRE HOME CLEAN? (bedroom, office, livingroom, family room, game room, movie room, guest house, den, other, etc)?*

(18) HOW MANY CAT DO YOU HAVE?*

(19) HOW MANY DOG DO YOU HAVE?*

(20) WHAT KIND OF LOCATION?*

(21) WHEN DO YOU NEED SERVICE?*

(22) DO YOU HAVE ANY QUESTIONS OR REQUEST?

(23) BEST TIME & METHOD TO CONTACT YOU? (Select all that apply)*

(24) HOW DID YOU HEAR ABOUT US?*

I understand that all first time booking, must pay a $50 reservation fee in order to hold the desire date and time. *

 (25) DO YOU WANT A IN PERSON HOME ESTIMATE? Questions 1, 7, 11 should give an idea of service cost, and the appproximate time to complete your home cleaning, etc.*

Please undersatnd that I am running my business pretty much solo. So, with this being said, be patient as I reach to you. Once I received this form I will call or text you. The estimate time for me to response back can take up to 48 hour. Please text us for faster response once you fill this form. Thank you! *

(26) DO YOU WANT TO PROVIDE US YOUR OWN LIST OF TASK OR DO YOU WANT TO USE OUR CLEANING LIST?*

Hour of Operation:
Monday - Friday: 
8am - 5pm 
Office Phone
(830)507-4355 
Address:
Selma, Texas 78154
Email us at: 
info@thecleaningmom.net
 

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