Client Questionnaire for AVS Hamptons Premier Housekeeping

Name*

Date*

How often do you receive service in

January/February/March/April

May/June/July/August/September

October/November/December

Do you have a preferred day?

Preferred time (AM/PM)

Select if you are a summer client.

First Service Date

Last Service Date

Do you want laundry done?

Do you want ironing done?

Do you want your beds changed?

How often?

Do you have cleaning supplies?

Do you want us to buy the cleaning supplies?

Do you have a vacuum?

Do you have trash service or do you want us to go to the dump?

Can your alarm be set to our code?

Can we have a key or is it hidden on premises?

Additional information

How did you hear about us?*

Please specify

Please let us know if you have any special instructions