Parent Information * First Name Last Name Phone * (###) ### #### Email * Service Address Are there pets in the home? Yes No How far along are you (or how old is your baby)? (optional, helps us schedule around your needs) Which package are you interested in? Fresh Start Clean (Basic) Comfort Clean (Premium) Full Nest (Deluxe) Preferred Cleaning Date MM DD YYYY Preferred Time Morning Afternoon Flexible How often would you like cleaning? One-Time Weekly Biweekly Every 3 weeks Home Size (approx. square footage) Under 1500 sq. ft. 1,500–2,500 sq. ft. 2,500–3,500 sq. ft. Over 3,500 sq. ft. Rooms to Focus On Nursery Master Bedroom Bathrooms Kitchen Living Areas Other Are there any specific areas or items you’d like us to avoid? Would you like to add a gift basket? Yes — Tier 1 (Essentials) Yes — Tier 2 (Deluxe Comfort) No, cleaning service only Would you like us to use your preferred cleaning products? Yes No Any allergies or sensitivities we should be aware of? (Fragrance-free, certain oils, etc.) How did you hear about us? Friend/Referral Social Media Website Other Additional Notes or Requests: (Any special timing, routines, or cleaning focus?) I understand that a walk-through or consultation may be required before my first cleaning. * Agree Thank you!
