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Senior Home Cleaning
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Cleaning Intake Form
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226 778 9511
Cleaning Intake Form
Full Name
Email
Phone Number
Company name
Property Address
Property Type
Condo
Apartment
House
Townhouse
Studio
Other
Approximate Square Footage
Under 500 sq. ft.
500–999 sq. ft.
1,000–1,499 sq. ft.
1,500–1,999 sq. ft.
2,000–2,999 sq. ft.
3,000+ sq. ft.
Number of Bedrooms
Studio
1
2
3
4
5+
Number of Bathrooms
1
1.5
2
2.5
3
4+
Property Name (Airbnb Listing)
Requested Cleaning Date
Expected Guest Check-Out Time
Expected Guest Check-In Time
Service Requested
Standard Airbnb Turnover
Deep Cleaning
Move-In Cleaning
Move-Out Cleaning
Emergency Same-Day Turnover (Subject to Availability)
Special Instructions
Preferred Contact Method
Phone
Text Message
Email
Agreement
I confirm that the information provided is accurate and agree to Aurevia Clean Co.'s Terms & Conditions.
Submit
CLIENT INFORMATION
Full Name
Company (If Applicable)
Phone Number
Email Address
Preferred Method of Communication
Phone
Text Message
Email
PROPERTY INFORMATION
Property Type
House
Condo
Apartment
Townhouse
Duplex
Other
Property Address
sq. ft.
Bedrooms/Bathrooms/Kitchens
Basement
Finished
UniFinished
None
Unit / Apartment
Number of Floors
1
2
3+
Requested Service
Initial Cleaning
Standard Cleaning
Deep Cleaning
Move-In Cleaning
Move-Out Cleaning
Post Renovation Cleaning
Recurring Cleaning
Frequency
One-Time
Weekly
Bi-Weekly
Every 4 Weeks
Monthly
Other
Preferred Arrival Time
8:00 AM
9:00 AM
10:00 AM
11:00 AM
12:00 PM
1:00 PM
2:00 PM
3:00 PM
Flexible
Preferred Time
Morning
Afternoon
Evening
Areas to Clean
Kitchen
Bathrooms
Bedrooms
Living Room
Dining Room
Laundry Room
Office
Stairs
Basement
Garage
Balcony / Patio
City
Postal Code
Buzz Code
Add-On Services
Interior Oven
Interior Refrigerator
Interior Cabinets
Interior Windows
Laundry & Linen Change
Bed Making
Organization
Balcony Cleaning
Pet Hair Removal
Baseboards
Wall Spot Cleaning
Other
Preferred Products
Eco-Friendly
Fragrance-Free
Standard Products
Client Will Provide Products
Preferred Disinfectant
Pets
Yes
No
Special Instructions
Home Access
Client Home
Key
Lockbox
Smart Lock
Concierge
Garage Code
Alarm Code (optional)
Parking Instructions
Fragile Items
Special Requests
Before Your First Cleaning
Home will be reasonably decluttered.
Valuables and cash will be secured.
Pets will be safely contained if necessary.
Utilities (water & electricity) will be available.
Preferred Payment Method
Credit Card
Debit Card
E-Transfer
Cash
Client Name
Date
Terms & Authorization
I confirm that the information provided is accurate. I authorize Aurevia Services Ltd. to perform the requested cleaning services. I understand that additional charges may apply if the home's condition differs significantly from the information provided.
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