Residential Client Intake
Thank you for your interest in working with Collective Cleaners! To apply for cleaning services, please fill out the following form to give us a sense of your needs. We will be in touch shortly to let you know if we can fit you in now, or add you to a list for future availability.

Privacy Statement: Email addresses are used exclusively to communicate with you about your cleanings. We will never spam you or share your email address with anyone, for any reason.
Sign in to Google to save your progress. Learn more
Please tell us your name and pronouns!
 *
How did you hear about us?
 *
What is your email address?
 *
In what city or town are you located?
 *
What is your phone number, and what are the best times to reach you?
 *
How often are you looking for cleanings? *
When are you looking to begin cleaning services?
*
Required
Please describe the space you would like cleaned, as well as your specific cleaning priorities in as much detail as possible. It's helpful to include the number of bedrooms & bathrooms, square footage, and the number of adults, children, & pets.
 *
On a scale of 1-10, please estimate the current condition of your home. There's no judgement here! This information will only help us better meet your needs. *
1 = Generally very clean & organized. Looking for help with finer details.
5 = Moderate buildup of things like dust, kitchen grease, and bathroom soap scum.
10 = Higher level of cleaning and/or disinfecting required, potentially requiring special tools or equipment.
Have you had professional cleaning services in the past?
If so, were you happy with their work? How long has it been since your last cleaning?
 *
If there are any special considerations, special projects, or anything else you would like us to know, please include it here!
Scheduling Availability *
We typically schedule cleanings between 9am-5pm. What days or times work best for you?
Available
Unavailable
Maybe/Unsure
Monday Morning
Monday Afternoons
Tuesday Mornings
Tuesday Afternoons
Wednesday Mornings
Wednesday Afternoons
Thursday Mornings
Thursday Afternoons
Friday Mornings
Friday Afternoons
The Service Policy covers our Cancellation Policy, Lockouts, Rescheduling, & Health and Safety concerns
Please note that we are not equipped to clean up after pet accidents, rodent infestations, or anything that could be considered a bio hazard. If you need these services, please let us know and we will refer you to a qualified professional.
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of collectivecleaners.com. Report Abuse
Google Forms