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Name:
Email:
Phone:
Zip Code:
Which carpet cleaning services do you need?
 Steam cleaning
 Dry cleaning
 Carpet protection and deodorizer
 As recommended by professional
 Other 
Are there any stains that need to be cleaned?
 No stains
 Food stains
 Pet stains
 Oil/Grease stains
 Other
What type of home do you live in?
How many rooms do you need cleaned?

How many set(s) of stairs will you need cleaned?

If there are stairs, how many landing are there?

What is the approximate square footage of the area that needs cleaning?
Do you need the professional to move furniture?
What kind of pet(s) do you have?

 No pets
 Cat
 Dog
 Other

Does anyone regularly smoke inside?

When do you need this service?
When is the best time for the professional to arrive?

Anything else the carpet cleaner should know?




On-Line Quotes are estimates for residential services only based on information provided and subject to change.