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In keeping with our commitment to confidentiality and privacy, we never sell or share personal information. Serving parts of Morris, Essex, Union and Somerset counties.
Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
State
Postal Code
Cellphone Number
*
Email
*
What's your biggest concern with the cleaning of your home?
Frequency
*
One Time
Weekly
Biweekly
Monthly
Other
Square Footage of Home - if you don't know, just check the last box.
< 1000 Square Feet
1000 to 1500
1501 to 2000
2001 to 2500
2501 to 3000
3001 to 4000
4001 to 5000
5001 to 6000
6001 to 7000
7000+
Don't know
How many bedrooms are we cleaning?
1
2
3
4
5
6
7+
0
How many full bathrooms are we cleaning?
1
2
3
4
5
6
7
8+
How many half bathrooms are we cleaning?
1
2
3
4
5
6
7+
0
How many people live in the home?
1
2
3
4
5
6+
What other areas are we cleaning?
Living Room
Dining Room
Family Room
Great Room
Mudroom
Office
Den
Library
Play Room
Foyer
Laundry Room
How many dogs or cats live in the home?
0
1
2
3
4
5+
Are there a lot of pictures or decorations?
No, I like it sparse
Medium (3-5 items on tables)
Lots (Lots of things everywhere and plenty of pictures)
Are we cleaning the basement?
Yes
No
Is your home mostly carpeted or hardwood?
Carpeted
Hardwood
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