Name *

Address inc. postcode *

Phone *

Alternative number

E-Mail *

Are there any children at home? *

What pets do you have at home *

Is your home a smoking household? *YesNo

Is there free parking at home? *YesNo

Please let us know if there’s anything we should be aware of to help keep you, your home, and the cleaner safe (e.g. details about the property, surfaces, pets, cleaning equipment, or anything else that may be relevant).

When would you like your cleaner to start* *

How Many Hours Do You Require? *22.5345678910

And How Often? *WeeklyFortnightly

When Suits Best For Your Cleaner To Visit? *WeekdayWeekendsEither

Are there any days you can’t do?

Do You Require Ironing? *YesNo

Would you like your Cleaner to be a key holder? *YesNo

Finally, please describe your cleaning requirements and let us know if there is anything else we need to be aware of (eg any special instructions, quirks, fragile items / surfaces etc.).