Request for Estimate

We would love the opportunity to provide you with an estimate for our services.  Please take a moment to
complete the questions below, click on the submit button, and we will get back to you with a quote of house
cleaning service custom designed to meet your cleaning requirements.
Please fill out completely before clicking the submit button.
Pam Babcock - My Chores Are Yours & Co.
Contact Information with the Address of the Home to be Cleaned:
Your name: LAST then FIRST
Address:
City:
 Zip Code:
Your home phone number:
Alternate phone number:
Your email address:
General Information
Type of Cleaning?
Dwelling Type?
Number of Adult
Residents ( 17+)?
Number of Children 16
or younger Residents?
Approximate Square Feet?
Number of
ceiling fans:
Number of floors to
be swept and
washed each service:
Number of stairs
to clean (not
steps)
 Number of
windows:
Number of
louvered doors
(including closet
doors):
Number of French
doors:
Number of
ceiling lights:
Number of
windows with
blinds or shutters:
Number of wood burning
stoves or fireplaces:
 Number of patio or sliding glass doors:
Number of doors:
How many dogs?
How many cats?
Other Pets?
Identify the condition of your home:
Pet hair level:
 Clutter level (work
papers, bills,
counter items, etc):
Dust level:
Mildew level:
Level of picking up
(toys, clothes, other):
 Soap scum
level (in how
many  
bathrooms?):
Specification About Cleaning Your Home
Bedrooms and Bathrooms:
Number of
bedrooms to clean?
How many full bathrooms
(shower and/or tub)?
How many 1/2 bathrooms?
Will we be changing the
bedding?
Will we be exchanging the
towels with fresh towels?
Will we be washing
the towels?
If so, how many beds
will we be changing?
Are we to put back the
freshly washed towels?
Type of bathroom
floorings (Select as
many as needed by
holding the ctrl key
while clicking)
Type of shower area
(Select as many as
needed by holding
the ctrl key while
clicking):
Will we be washing &
drying the bedding?
Number of
Shower Doors:
How many sets of
beding will we be
washing?
Are we to put back on
the bed the freshly
washed bedding?
Number of bedroom
floors to be washed
each service:
Kitchen, Living areas and other rooms:
Kitchen: Please check one or more:
Eat-In
 With Counter Island
With Breakfast Nook
Efficiency
 Standard
Window Above Kitchen Sink
Stainless Steel Appliances
Stove Top Has Drip Pans
Things on counters
[may be clutter]
Number of Counter Items [such as toaster,
cannister set, blender and so on].
Dishes / Pans to be Washed
Other Areas Needing Cleaned (check all that apply):
Living Room
 Library
Laundry Room
Formal Dining Room
Mud Room
Family Room
 In-Formal Dining Room
Study
Bonus Room
Great Room
 Office
Recreation Bar Room
Sitting Room
Exercise Room
Recreation Room
Foyer
Piano/Music Room
Other Room 1
Craft Room
 Den
Sewing Room
 Loft
 Other Room 2
Hobby Room
Other Room 3
TV Room
Play Room
Sun Room/Porch
Flooring including the Kitchen and Dining Areas
  [ -DO NOT INCLUDE BATHROOMS):
# of Rooms with Wall-to-Wall Carpeting
 # of Rooms with Area Rugs
# of Rooms with Wood Flooring
# of Rooms with Quarry or Ceramic Tile
# of Rooms with Throw Rugs
# of Rooms with Linoleum, Tile or Vinyl Flooring
OTHER INFORMATION:
Number of table Lamps:
Quantity of Knick-nacks:
 # bookshelf units:
Comments:
House Cleaning
374-0004