Fill out your informationFirst Name *Last Name *Phone Number Email *Street Address City 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? Check the characteristics of a housekeeper that are most important to you Follows my directionsSelf-directedDependablePunctualFluent in EnglishLong-term commitmentFriendlyBusinesslikePlease select the day you would prefer your housekeeping service MondayTuesdayWednesdayThursdayFridayPlease select the time of day you would prefer your housekeeping service MorningAfternoonDoesn't MatterFrequency MonthlyBi-weeklyWeeklyNumber of Bedrooms Number of Bathrooms What is the square footage of your home? 800-16001700-22002300-27002800+How Did You Hear About Us? Internet SearchSocial MediaReferralReturning CustomerAny Other Comments? Please Prove You're a HumanPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: 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.