JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Briiz Home Cleaning Plans
One-off and regular house cleaning services
Free up your schedule and let the professionals handle the cleaning
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
How often?
You can keep the same cleaner for recurring cleans.
*
Weekly (8% discount)
Every other week (4% discount)
Monthly
One-off
How many
Cleaners
needed?
*
1
2
3
4
Other:
How many
Hours
needed?
*
3
4
5
6
7
Other:
Extra tasks (optional)
Ironing
Laundry
Inside Windows
Inside Fridge
Inside Oven
Garage Deep Cleaning
Spring Cleaning
Pest Control Prevention
Dry Cleaning - Blinds and curtains
Other:
Do you have pets?
Cats
Dogs
Name and Surname
*
Your answer
Address of the home requiring cleaning
*
Your answer
Prefered Date
*
MM
/
DD
/
YYYY
Prefered Time
*
Time
:
AM
PM
Email address
*
Your answer
Phone number
*
Your answer
Coupon Code:
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
