Please fill out the check off list below and we will call you back or email you to give you a close as possible estimate. The Questions in RED are required. The fields marked with (*) are required fields. * Name:  * required * Phone number:  * required   Address: * City:  * required   How did you find out about us? Yellow Pages Book Other printed matter Better Business Bureau Referral Used The Houseketeers service before Internet None of the above   Or - What Keywords did you use to search for our Website? House Cleaning Services Home Cleaning Services Vancouver Home Cleaning Service Home Cleaning Service Vancouver Vancouver House Cleaning Service Vancouver Maid Service Maid Service Vancouver Burnaby Home Cleaning Service Home Cleaning Service Burnaby Burnaby Maid Service Maid Service Burnaby New Westminster Home Cleaning Service Home Cleaning Service New Westminster New Westminster House Cleaning Service Maid Services New Westminster New Westminster Maid Services Coquitlam Home Cleaning Service Home Cleaning Service Coquitlam Coquitlam Maid Services Maid Services Coquitlam Port Coquitlam Home Cleaning Service Home Cleaning Service Port Coquitlam Port Coquitlam House Cleaning Service House Cleaning Service Port Coquitlam Port Coquitlam Maid Services Maid Services Port Coquitlam Home Cleaning Service Port Moody Port Moody Home Cleaning Service House Cleaning Service Port Moody Port Moody House Cleaning Service Maid Services Port Moody Port Moody Maid Services   Have you used home cleaning services before? Yes No   This is a House, Town House...: House Town House Apartment Condo Duplex Basement Bungalo Suite Studio Office One floor of a home Other   # of Adults: 0 1 2 3 4 5 6 7 8 9 10   # of Children: 0 1 2 3 4 5 6 7 8 9 10   # of Dogs: 0 1 2 3 4 5 6 7 8 9 10   # of Cats: 0 1 2 3 4 5 6 7 8 9 10   Make up of your home: Total Square Feet: 0 - 500 500 - 750 750 - 1000 1000 - 1250 1250 - 1500 1500 - 1750 1750 - 2000 2000 - 2250 2250 - 2500 2500 - 2750 2750 - 3000 3000 - 3500 3500 - 4000 4000 - 4500 4500 - 5000 5000 - 5500 5500 - 6000 6000 - 6500 6500 - 7000 7500 - 8000 8000 - 8500 8500 - 9000 9000 - 9500 9500 - 10000   # of Levels: 1 2 3 4 5   # of Levels to be Cleaned 1 2 3 4 5   # of Bedrooms: 0 1 2 3 4 5 6 7 8 9 10   # of Offices: 0 1 2 3 4 5 6 7 8 9 10   # of Dens: 0 1 2 3 4 5   # of Bathrooms: 0 1 2 3 4 5 6 7 8 9 10   # of Half Bathrooms / Powder Rooms 0 1 2 3 4 5 6 7 8 9 10   # of Kitchens: 0 1 2 3 4 5   # of Rec rooms: 0 1 2 3 4 5   At the time of cleaning, would the house be: Furnished Empty Move In Move Out   Check off what you want to have cleaned. Stove In Stove Out Oven Self Cleaning Stove Move - (If Possible) Stove Fan Out Only Fridge In Fridge Out Fridge Move - (If Possible) Dishwasher In Dishwasher Out I have Stainless Steel Appliances Kitchen Cupboards In Kitchen Cupboards Out Microwave In Microwave Out Sink and Counter Tops Wash Dishes Dusting -- Television Dusting -- Stereo Dusting -- Book Shelves Dusting -- Picture & Picture Frames Dusting -- Light Fixtures (Where Reachable) Dusting -- Baseboards Dusting -- Ledges (Where Reachable) Dusting -- Window Sills Dusting -- Cob Webs Dusting -- Dust All Other Areas Wash Floors - Linoleum & Tile Hardwood Flrs -- Vacuum then wash with Vinegar Hardwood Flrs -- Vacuum then wash with Water Only Hardwood Flrs -- Sweep Only Hardwood Flrs -- Vacuum Only Vacuum Carpets & Rugs Vacuum Sofas Vacuum Love Seats Vacuum Chairs Interior Doors - Wipe/Dust/Wash Closet Doors - Wipe/Dust/Wash Closets Inside (Floors & Shelves) Mirrors (Wall & Closets Outside Bathrm) Bathroom -- Tiles Bthrm -- Tubs Bthrm -- Sinks Bthrm -- Showers Bthrm -- Mirrors Bthrm -- Lights (Where Reachable) Bthrm -- Floors Bthrm -- Toilets In Bthrm -- Toilets Out Bthrm -- Cupboards In Bthrm -- Cupboards Out Windows Inside Only Sliding Window Tracks Spot Clean Walls Wall Switches and Plugs Glass Doors of Fire Place Blinds -- Vacuum Blinds -- Dusting Laundry Room -- Sweep Laundry Room -- Mop -------- Washer In -------- Washer Out -------- Dryer In -------- Dryer Out Make Beds Change Beds Ironing Laundry Garbage (Not Pet Litter & Diapers)   # of French Doors to be cleaned: 0 1 2 3 4 5   # of Patio Doors to be cleaned: 0 1 2 3 4 5   Other / Comments:   On a scale from 1 to 10, WITH 10 BEING THE WORST, what would you say is the general condition of your home, keeping in mind the condition of your stove and the condition of the washroom/s ? (Grease in and on kitchen appliances and discolored bathroom tiles are very time consuming.) 1 2 3 4 5 6 7 8 9 10   Are you interested in a regular cleaning service?: Yes No   When do you need a cleaning? * . e-mail address:  * required   Contact me by: Phone Email Only Phone or Email