subject_line
First Name
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Last Name
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Street Address
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Address Line 2
City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Phone Number
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Email Address
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Can we text you at this phone number? (appointment reminders, questions, communicating)
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Yes
No
Preferred Payment Method
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Online Payment: Debit/ Credit
Check (Payable to: Primary Cleaning Services)
Cash
Payments are expected at the end of the service.
We offer a 24HR Warranty on all our cleaning services!
Type of Cleaning Services? For more information please visit our services page on our website
Click Here
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Deep Cleaning
One time Cleaning
Move out/In Cleaning (refrigerator, oven, and cabinets included)
Inquiries for Airbnb and Commercial cleaning services please contact us at (816) 606-6221 or email at CustomerSupport@myprimarycleaning.com to schedule an in-person estimate.
Are you interested in recurring service?
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Yes
No
Have you had a cleaning service visit your home in the past 3 months?
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Yes- I have had cleaning services in the past 3 months
No- I haven't had cleaning services
How many levels are we cleaning?
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1 Level
2 Levels
3 Levels
4 Levels
What is the number of kitchens you would like us to clean? ( Having a bar in the basement is considered a half kitchen.)
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1 Kitchen
2 Kitchens
3 Kitchens
4 Kitchens
Half Kitchen
How many dining rooms would you like us to clean?
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Studio (no dining room)
1 Dining room
2 Dining rooms
3 Dining rooms
4 Dining rooms
The number of bedrooms you would like us to clean?
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1 bedroom
2 bedrooms
3 bedrooms
4 bedrooms
5 bedrooms
6 bedrooms
The number of bathrooms you would like to have cleaned?
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1 Full Bath
2 Full Bath
3 Full Bath
4 Full Bath
5 Full Bath
1 Half Bathroom
2 Half Bathroom
How many chandeliers are in the home?
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1 chandelier
2 chandeliers
3 chandeliers
4 chandeliers
No chandeliers
Any pets living in the home?
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Yes, pets are living in the home
No, pets are not living in the home
If so what is your pets name?
Has there been any remodeling done in the home in the past 3 months?
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Yes-Remodeling
No-Remodeling
Number of staircases needed to be cleaned?
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1 Staircase
2 Staircases
3 Staircases
4 Staircases
None
Do you need your finished basement cleaned?
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Yes-Clean my finished basement
No- I don't need my finished basement cleaned
Are there any extra rooms in the house you would like us to clean? (1 living room has already been added to your quote)
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Second Living room
Third Living room
Office
Play Room
Plant Room
Reading room
Gym Room
None
Extra Services: Any bedsheets you would like us to change?
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1 BedSheet
2 Bedsheets
3 Bedsheets
4 Bedsheets
5 Bedsheets
6 Bedsheets
None
Extra Services: Would you like us to hand wash any dishes? (one load of dishes example: 3 pots, 3 plates, 3 cups, 3 spoons)
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1 load
2 loads
3 loads
Place dishes in the dishwasher
Put dishes away
None
Extra Services: Is there a front porch or patio you would like us to sweep and mop?
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Yes, I need my porch cleaned
Yes, I need my patio cleaned
No, I don't need my porch or patio cleaned
****For Deep Cleaning and One-time Cleaning Service Only****
(
Move out/In Service already includes fridge and oven cleaning in its price
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Service Details
Extra Services: Do you need your fridge or oven cleaned?
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Refrigerator
Kitchen Cabinets
Oven
None
Any information we should know about?
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Will someone be at the home at the time of the service to let our cleaners in?
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Yes- I will be home
No- I will have someone be at the home
If selected NO in the previews question: What are the person's first and last name and phone number that will be there at the time of the service?
We do ask for you to put any pets and any personal possessions away before your appointment in order to receive maximum efficiency of your cleaning appointment, thank you!
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