Availability Request Form

First Name *

Last Name *

Email *

Phone *

City *

Postal code *

What type of one-time clean are you looking for? *

Regular Cleaning - 4 hr minimum required

Deep cleaning - 6 hr minimum recommended - (baseboards, ceiling fans, vents, light fixtures, wood inlay, etc)

Move in/out cleaning - 8 hr minimum recommended- (everything included in deep cleaning PLUS+ inside cupboards, closets, drawers, etc)

Are you interested in any of these add-ons? (additional cost)

Inside fridge/freezer

Inside oven

On a Scale of 1 - 5, What is the Level of Build Up in the Home?

* Level 1: Minimal Build-Up * Surfaces are relatively clean with minimal dust accumulation. * Dust is loose and easily wiped free from surfaces. * No noticeable spills or stains, surfaces are generally clear.

* Level 2: Light Build-Up * Some dust accumulation on surfaces, but not excessive. * Dust can be removed with a light wipe or dusting. * Minor spills or stains may be present, but they are not caked on.

* Level 3: Moderate Build-Up * Noticeable dust accumulation on surfaces, requiring more effort to remove. * Dust may be slightly sticky or have some thickness. * Spills or stains are more apparent and may require some scrubbing to remove.

* Level 4: Heavy Build-Up * Significant dust accumulation on surfaces, requiring thorough cleaning. * Dust is thick and possibly sticky, requiring scrubbing to remove completely. * Spills or stains are caked on and may have caused some damage to fixtures or surfaces.

* Level 5: Extreme Build-Up * Items need to be replaced/repaired due to neglect or prolonged lack of cleaning. * Build-up is extremely thick, sticky, and difficult to remove. * Spills or stains have caused visible damage to fixtures and surfaces, requiring extensive cleaning and require replacing/repairing.

*Please Note: We are not able to clean Level 5 homes and some Level 4 homes.

How many "man hours" of cleaning would you like to budget? (see timing estimate chart above) *

How did you hear about Angie My Cleaner? *

Please tell us your deadline for this job and any ideal days/times. We operate M-F 8am-4pm. *