Business Information

Company / Office Building Name

Contact Name

First

Last

Contact Email

Contact Phone

Office Building Address

Address Line 1

Address Line 2

City

State

Zip Code

Space Overview

Total Square Footage (approx.)

Number of rooms / Offices

Number of Floors

Number of employees using the space daily

(Anything me Kitchenette:

Is the office open to the public?

Yes
No

Area Breakdown (checkboxes + quantities)

Please Estimate the number of each:

Private Offices:

Open Workspaces:

Conference rooms:

Reception/ Waiting Area:

Yes
No

Break room/ Kitchenette:

Yes
No

Bathrooms:

Hallways/ Stairwells:

Yes
No

Storage rooms (typically excluded):

Cleaning Frequency

Preferred Cleaning Frequency

Preferred Cleaning Time

During business hours
Evenings / after hours
Overnight
Flexible

Scope of Cleaning

Select what you expect to be included:

General Areas

Bathrooms

Clean & Sanitize toilets
Clean sinks & counters
Clean mirrors
Refill soap/ paper products (if supplied)

Break Room/ Kitchen

Clean sink & counters
Exterior of appliances
Empty trash

Additional (if applicable)

Interior glass
Baseboards
High dusting

Supplies & Access

Would you like me to provide cleaning supplies?

Yes
No
Not sure yet

How will we access the space?

Key
Code
On-site contact

Additional Notes (Anything else we should know about the space?)

Request a Quote

Business Information

Space Overview

Area Breakdown (checkboxes + quantities)

Cleaning Frequency

Scope of Cleaning

Supplies & Access

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