Name

Email Address

Phone

How may we help you?How may we help you?Carpet CleaningRug CleaningFurniture CleaningTile and Grout CleaningNatural Stone Polishing

How many rooms do you need cleaned?How many rooms do you need cleaned?Master Bedroom1 small bedroom2 small bedrooms3 small bedroomsLiving RoomFamily RoomDining RoomHallway2 HallwaysStairs

Are there any noticeable pet stains or pet odors?Are there any noticeable pet stains or pet odors?YesNo

Do you have any special concerns with you carpet? Example: “coke spill in living room”

Which pieces of furniture would you like to have cleaned?Which pieces of furniture would you like to have cleaned?Sectional (3-5 piece)Sectional (“L” – shaped)SofaLoveseatChase LoungeLounge ChairReclinerOttomanDining Room Chairs

Does any of your furniture have any problems caused by pet urine (stains or odor)?Does any of your furniture have any problems caused by pet urine (stains or odor)?YesNo

Describe any special concerns you have with any of your furniture. (Example: “Very dirty / lots of spills)

How many rugs do you need cleaned?

List the approximate sizes of each rug. (Example: 4’x6′, 8’x10′ or 9’x12′)

What issues are present?What issues are present?Regular soilHeavy soilPet Urine (stains/odor)

What type of tile do you have?What type of tile do you have?Ceramic or Porcelain TileNatural StoneTravertineMarbleGraniteI dont know

How many square feet of tile do you need cleaned?

Do you prefer that we come out and measure?Do you prefer that we come out and measure?YesNo

How soon do you need it done?How soon do you need it done?First AvailableAnytime this weekNo Rush

Please provide any other details that will help us give you a more accurate quote.

What type of Stone do you have?What type of Stone do you have?TravertineMarbleGraniteOtherI don’t know

How many square feet of stone do you need polished?

Do you Prefer that we come out and measure and do an in-home quote?Do you Prefer that we come out and measure and do an in-home quote?YesNo