CLEAN by Cheylene - Client Intake Form

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CLEAN by Cheylene

Client Intake Form


Client Information:

Client Name:

Address:

Phone: Email:

House Information:

# of Bedrooms: # of Bathrooms:
Preferred method of entry - if I require a code or key , please provide details:

What year was your house built?

Flooring Type(s):

Service Frequency:
biweekly monthly

Which levels require service ?

Do you have any children ? What ages ?

Do you have any pets ? What kind? How many?

Please specify your priorities or areas of most concern ?

Preferred payment method : cash card e-transfer

Email: bookwithchey@gmail.com Phone Number: 204 230 5989

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