Appointment Request | Healthy Home Cleaning Services

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nchealthyhomecleaningservices@gmail.com

252-363-5996

Appointment Request Form

Fill this form to schedule and estimate and appointment

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Full Name*

Address*

Phone Number*

Your Email*

Please select any/all that apply to your home*

Bio Hazards such as animal/human wasteInfestation of bugsSomeone has been sick within the last 48 hoursHome needs de-cluttering/organizing prior to cleaningAn excessive amount of trash/debrisnone of the above

Do you have Pets?

YesNo

List what types and how many.*

How can we best serve you?

Cleaning PlanTimed Service

Which type of service are you looking for?*

Green Clean: residential basic maintenance/one time clean (starting at $100) Showers, Tubs, Toilets, Sinks and faucets, Counters, Mirrors, Floors Swept, mopped, and vacuumed, Light dry dusting, Cobwebs removed, Light switch and covers cleaned, Fans dusted and cleaned, Major appliance front(s) cleaned, Stovetop and hood microwave, Trash removalHealthy Home (starting at $150) Residential intermediate maintenance/one time clean. Includes All services provided in the 'Green Clean' plus: All trim dry dusted, Hand clean cabinet faces, Blinds dusted, 1 linen changeSuperior Deep Clean (starting at $200) Residential deep maintenance/one time clean Includes All services provided in the 'Healthy Home' plus: All trim hand wiped, Light fixtures dusted, Interior doors, Walls spot cleaned, Main door entry swept (outside)Vacant Home Clean (starting at $300) Residential deep clean for empty homes. top to bottom cleaning including Showers, tubs, toilets, sinks, faucets, counters, mirrors, light dry dusting, cobwebs, light switch and outlet covers cleaned, fans, major appliance front(s) cleaned, stovetop and hood, microwave, trash removal, sweep, mop, vacuum, dust blinds, Hand wipe all trim, dust light fixtures, interior doors, walls spot cleaned, main door entry swept (outside).Post Construction Clean (starting at $300) Deep clean for a newly built home or after renovations. Services include top to bottom vacuuming and dusting, Showers, tubs, toilets, sinks, faucets, counters, mirrors, light switch and outlet covers cleaned, fans, major appliance front(s) cleaned, stovetop and hood, microwave, trash removal, sweep, mop, vacuum, hand clean cabinet faces, dust blinds. Hand wipe all trim, light fixtures, interior doors, walls spot cleaned, main door entry swept (outside) Inside/outside of all cabinets and drawers.New Build Construction Clean (starting at $400) Deep clean for a newly built home or after renovations. Charges are priced by the sq ft. Top to bottom vacuum,Top to bottom dry dusting, showers, tubs, toilets, sinks, faucets, counters, mirrors, light switch and outlet covers cleaned, fans, major appliance front (s) cleaned, stovetop and hood, microwave, trash removal, sweep, mop, vacuum, hand clean cabinet faces, dust blinds. Hand wipe all trim, light fixtures, interior doors, walls spot cleaned, main door entry swept (outside) Inside/outside of all cabinets and drawers.

What is the square footage of your home?*

Would you like any add-ons?

OvenRefrigeratorFreezerInterior CabinetsCleaning and Organizing Front/Back Porch (hourly rate)Other appliancesBlind detailHand Scrubbed Floors (hourly rate)Trash Can Cleaned ($15)Detailing of Furniture (custom quote required)Wipe out DishwasherTop to Bottom Wall Cleaning (hourly rate)

If you would like to include windows to be cleaned, please add the quantity of windows below.

(within reach, we do not use ladders) (priced per window)

How long would you like us to Clean (hours)

What should we prioritize

How often would you like service?*

As needed - I will submit an appointment request when neededMonthlyBi-Weekly (Every 2 weeks)Weekly

When would you like your appointment scheduled?*

As Soon As PossibleI'm available at these times

Monday 9-1Monday 1-6Tuesday 9-1Tuesday 1-6Wednesday 9-1Wednesday 1-6Thursday 9-1Thursday 1-6Friday 9-1Friday 1-6Saturday 9-1Saturday 1-6

Do you have a preferred team member?

Anything else you want to add?

I understand that Healthy Home Cleaning Services requires me to view their service agreement prior to service being conducted:
I agree to the terms and conditions.