Move-In / Move-out, Make Ready Cleaning

Your Contact Information

First Name

Last Name

Phone Number

Email Address

Street Address

City

Home's Square Footage

All estimates are subject to change depending on the condition of your home.

What is your trinket level?

1 2 3 4 5 or More # of bedrooms

1 2 3 4 or more # of bathrooms

1 2 More than 2 How many stories does the home have?

How did you hear about Bella Mia Maid Services?

How many ceiling fans?

Height of your highest ceiling?

How many window blinds?

What type of blinds do you have? (click all that apply)
Mini Wood Vertical Blinds

Inside/Outside of Oven? Outside Only Both

Inside/Outside of Refridgerator? Outside Only Both

What type of floors do you have?(click all that apply)
Carpet Tile Linoleum Wood

Are you looking for a regular scheduled service? Yes No
If yes, how often? Weekly Bi-Weekly Once every 3-4 weeks

Do you have any pets? Yes No
How many?

If yes, what kind of pets? (Click on all the apply)
Indoor pets Outdoor pets
Birds Dogs or Cats

Are you looking for carpet or window cleaning? Yes No

If Yes for Carpet Cleaning:
# of bedrooms
#of living rooms
How many sets of stairs?
Formal dinning room? Yes No
Game room? Yes No
# of hallways

If Yes for Window Cleaning:
#of windows upstairs
# of windows downstairs
# of doors that have glass
# of sliding glass doors