Yahweh Property Care
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Domestic clean – Intake
NDIS Cleaning Intake
Cleaning Site Visit
Risk Assessment
E-Signature Consent Form
Domestic / Residential Cleaning Intake Form
Domestic / Residential Cleaning Intake Form
Client Name:
*
Phone Number:
*
Email Address:
*
Preferred Contact Method:
*
Phone
Email
SMS
Property Address:
*
Suburb :
*
Postcode:
*
2. Service Required (Tick all that apply):
*
Domestic - Regular House Cleaning
Domestic - Deep Cleaning & Spring Cleaning
Domestic - Once Off Cleaning
Domestic - End of Lease Cleaning
Domestic - Move-In / Move-Out Cleaning
Domestic - Holiday Rental / Airbnb Cleaning
Property Type:
*
House
Apartment
Townhouse
Granny Flat
Number of Bedrooms:
*
1
2
3
4
5+
Number of Bathrooms:
*
1
2
3
4+
Number of Kitchens:
*
1
2+
Approximate Property Size (if known)(m²):
Number of Floors:
*
Pets in the property:
Cleaning Frequency:
*
One-off
Weekly
Fortnightly
Monthly
Preferred Day:
*
Monday
Tuesday
Wednusday
Thrusday
Friday
Saturday
Sunday
Preferred Time:
*
Morning
Afternoon
Evening
5. Extra Tasks (Optional):
Oven
Fridge
Windows
Balcony
Walls Spot Clean
Carpet Steam Clean
Pressure Cleaning
Pool Fence / Glass Cleaning
Ground Cleaning / Outdoor Areas
Mould Removing
Ceiling Fan Cleaning
AC Filter Cleaning
Photo Frame Cleaning
Fridge Deep Clean
Bed Making Service – Single Bed
Bed Making Service – Queen Bed
Bed Making Service – King Bed
6. Additional Notes: Any special instructions, access information, parking, or cleaning concerns:
7. Photos (Optional)File Upload
Drop a file here or click to upload
Choose File
Maximum file size: 268.44MB
8. Quote Follow-Up: When do you need the service to start?
*
Urgent
Within 1 week
Within 2–4 weeks
Flexible
Additional Message:
Submit
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