First Name *

Last Name *

Phone *

Email *

Address

City

Postal code

List a specific item, if any, that previous housekeepers have missed or cleaned poorly

If you could choose one thing that says what a ‘clean house’ is to you, what would it be?

In case everything can’t be finished in the time scheduled, what are your priorities?

Please select the day you would prefer your housekeeping service

Monday
Tuesday
Wednesday
Thursday
Friday
No elements found. Consider changing the search query.
List is empty.

Please select the time of day you would prefer your housekeeping service

Morning
Afternoon
Doesn't Matter
No elements found. Consider changing the search query.
List is empty.

Frequency (Monthly, BiWeekly, One Time)

What is the square footage of your home?

Number of Bedrooms

Number of Bathrooms

Check the characteristics of a housekeeper that are most important to you:

Follows my directions

Self-directed

Dependable

Punctual

Fluent in English

Long-term commitment

Friendly

Businesslike

How Did You Hear About Us?

Internet Search
Social Media
Referral
Returning Customer
Other
No elements found. Consider changing the search query.
List is empty.

Please note: If you are requesting that the housekeepers not wear shoes in your home, please provide booties. Due to sanitary concerns, the housekeepers’ preference is to wear shoes while cleaning bathrooms.

I agree to receive appointment notifications and marketing messages from The Clean Sweep Domestic Referral Agency.

Yes

I consent to receive SMS and calls from The Clean Sweep Domestic Referral Agency

Yes