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Katie (574) 334-8879 Ryan (574) 286-7763
skidazzled19@gmail.com
Ski 'Dazzled Cleaning Services
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Intake form
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Name
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Email address
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What type of cleaning do you require?
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Basic Cleaning
Deep Cleaning
How often do you need cleaning services?
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Weekly
Biweekly
Monthly
One-time
What is the size of your home?
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Studio
1 Bedroom
2 Bedrooms
3 Bedrooms
4+ Bedrooms
Do you have any specific areas of concern?
What is your preferred cleaning date?
Are there any pets in your home?
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Yes
No
How did you hear about us?
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Online Search
Social Media
Referral
Which service or services are you interested in?
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Basic cleaning package
Deep cleaning package
Customized cleaning solutions
Additional questions or comments
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