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Name

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Last

Company Name

Phone Number

Email Address

Address

Service Details

Frequency

How would you best describe the current condition of your space?

Poor: Significant cleaning is needed; the home is cluttered and dirty
Fair: Some areas require attention; overall cleanliness is below average.
Average: The home is generally clean but could benefit from some tidying up and minor cleaning tasks.
Good: The home is well-maintained with minimal clutter and dirt; overall cleanliness is satisfactory.
Excellent: The home is spotless and meticulously maintained; cleanliness is top-notch in every aspect.

Please describe your cleaning needs (be as specific as possible)

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