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| Address: |
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| How did you hear about us? |
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| Have you ever had a professional maid service before? |
Yes
No
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| If Yes, why are you shopping around? |
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| What kind of cleaning are you inquiring about? |
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| How often do you want service? (ex. once, daily, weekly...) |
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| On which day(s) would you prefer to receive service? |
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| In what type of dwelling do you want service? (ex. apartment, house, loft, office) |
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| How many square feet do you have to be cleaned? |
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| How many floors? |
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| How many flights of stairs? |
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| How many bedrooms? |
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| How many bathrooms? |
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| How many of the rooms have Carpet? |
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| How many of the rooms have Hardwoods? |
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| How many of the rooms have Tile? |
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| How many of the rooms have other floor material? |
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Specify |
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| What type of kitchen do you have? (ex. galley, kitchenette, island...) |
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| Please list the types of rooms you have. (ex. den, parlor, play room, family room...) |
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| Please list any pets you may have. |
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| When is the best time to contact you? |
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