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343 E Winslow Rd, Bloomington, IN 47401
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(812) 577-9936
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Contact Information
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First Name
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Last Name
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Phone
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Service Address
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City
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Service Information
Service requested
Square Feet
Number of occupants
Pets?
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Dogs
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Both
None
How old is your home?
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Under 5 years
5 - 10 years
10 - 20 years
Over 20 years
Tell us the total number of each:
Bathrooms
Bedrooms
Check all types of flooring that apply to your home:
Hardwood
Vinyl
Carpet
Ceramic
Stone tile
Laminate
On a scale of 1-10 what level of cleaning is required?
(10 being the dirtiest)
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1
2
3
4
6
7
8
9
10
Amount of clutter
(knickknacks, furniture,plants,pictures etc.)
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None - Empty house
Very little
Average
More than average
Very cluttered
Extras
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Inside the fridge
Inside the oven
Load of laundry
Move in/Move out
Deep cleaning
Basement
When would you like us to come?
Please choose the date/time that you would like us to come. The times listed are arrival windows. We will arrive sometime within the arrival window that you select, and we will call if we are running late for any reason.
Date
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Time
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