Cleaning Customer Data Sheet

My name is Anita and I am the creator of this form! If you need assistance with customizing this form for your own business, you may contact me here.
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?
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
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.
1
List tasks to exclude:
Should be Empty:

BA House Cleaning Customer Data Sheet

Customer Information

About the home

Periodic Tasks