Cleaning Customer Data Sheet Template

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BA House Cleaning Customer Data Sheet
Customer Information
Name
First NameLast Name
Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Home Phone
Area CodePhone Number
Her Work
Area CodePhone Number
Her Cell
Area CodePhone Number
His Work
Area CodePhone Number
His Cell
Area CodePhone Number
Preferred Phone
Email*
What type of reminder would you like to receive for each service?*
TextEmail
Possible other names on Checks Received (Needed for Accurate Posting of Check(s)
Please check all preferred days for cleanings (including the day we have you scheduled for)
Please check your preferred times of the day for cleanings
About the home
# of bedrooms*
# of bathrooms*
Approx. square foot
# of stories*
More than 50% carpeted
Special Instructions Regarding Closed Doors
Do Not Touch Items
Preference for wooden furniture dusting*
Damp microfiber clothMicrofiber cloth + lemon oilEither one
Earliest and latest time of the day to clean your home:(i.e. 8am – 5pm)
Special Products Client Will Provide and Location of Products
Access to Home (Gate Code, Alarm Code and Location, Location of Hidden Key, Other Entering Instructions)*
Animal Names, Types and Special Instructions
Location of Central Trash Container*
Other Instructions
Periodic Tasks
(FREE FOR WEEKLY AND BI-WEEKLY CLIENTS ONLY-Available for other clients at a small additional cost) – Performed one at each visit starting at second visit
*It takes two visits to complete the wet wiping of the baseboards and window sills.
List tasks to exclude:
Should be Empty:

BA House Cleaning Customer Data Sheet

Customer Information

About the home

Periodic Tasks