Estimate Request

Information submitted to Maid in North Carolina remains private. Your information is used solely for the purpose of providing an estimate.
Please fill in all fields marked with a *
First Name   * Last Name  
Address   *
City   * State   * Zipcode   *
You may choose to provide only your preferred method of contact.
Daytime Phone   Evening Phone   Email   *
Type of Service to be quoted (For a description of types click on "Cleaning Services" above.)
Basic Clean  
Deep Clean  
Customer Preference Clean  
Regularly Scheduled Basic Cleanings  
Weekly   Alternate Weeks   Monthly  
Date requested for first service
First Preference   (mm/dd/yy)
Second Preference   (mm/dd/yy)
House Style
One Story  
Two Story  
Three Story  
Split Level  
Apartment  
Condo  
Square Footage
Square Footage  
Number of Bedrooms  
Number of Bathrooms  
Other Rooms (Please select all that apply.)
Kitchen  
Eat In Kitchen  
Dining Room  
Second Dining Room  
Breakfast Room  
Laundry Room  
Sun Room  
Living Room  
Great Room  
Family Room  
Play Room  
Bonus Room  
Den  
Home Office  
Library  
Foyer  
Notes:
Flooring Types (Please check all that apply.)
Carpet  
Hardwoods  
Vinyl Flooring  
Linoleum  
Marble  
Other Stone  
Notes
Countertops (Please check all that apply.)
Vinyl Countertops  
Granite  
Wood  
Laminate  
Notes:
Glass (Please tell us how many of each you have in your home.)
Sliding Doors  
French Doors  
Storm Doors  
Windows  
Notes
Window Treatments (Please tell us how many of each you have in your home.)
Mini Blinds  
Vertical Blinds  
Wood Blinds  
Shutters  
Heavy Drapes  
Valances  
Notes:
Would you like us to clean the following?
Self Cleaning Oven  
Manual Cleaning Oven  
Refrigerator  
Items to dust (i.e. furnishings, knick-knacks, pictures, items hanging on walls.)
Sparce  
Average  
A Lot  
Final five questions
Number of Inside Pets   Cats   Dogs  
Number of Children Living at Home  
Number of People Who Smoke in the Home  
What is the current condition of the home?
Very clean  
Fair to Average  
Needs a lot of attention  
Referred By  
Notes:

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