Cleaning Services Health Assessment Form
This form is designed to ensure that we have a comprehensive understanding of your cleaning requirements, property details, and any health considerations that may impact our cleaning process. By completing this form, you enable us to deliver personalized cleaning services that not only meet but exceed your expectations while ensuring the well-being of all occupants.
Client Information:
Name: | [Client Name] |
Company/Organization: | |
Contact Number: | |
Email Address: | |
Address: | |
Property Information:
Property Type: | |
Size of Property: | |
Number of Rooms/Spaces: | |
Special Instructions: | |
Cleaning Requirements:
Frequency of Cleaning: |
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Cleaning Services Needed (check all that apply): |
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Additional Services (if needed): |
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Health and Safety Assessment:
Does anyone in the property have any allergies or sensitivities to cleaning products?
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Are there any specific health concerns or conditions we should be aware of before conducting cleaning services?
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Is there anyone in the property with compromised immune systems or respiratory issues?
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Are there any pets in the property?
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Declaration:
By signing below, I confirm that the information provided in this form is accurate to the best of my knowledge. I understand that [Your Company Name] will use this information to tailor cleaning services to meet my specific needs and ensure the health and safety of all occupants.
Client Signature:
Date:
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