24 Hour In-Home Care
for the ones you love
(760) 688-0633
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Housekeeping Request
Everything we do is to preserve the dignity and quality of life in each individual.
Housekeeping Request
How did you hear about us?
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Google Search
Facebook
Referral
Returning Client
Other
Specify other:
Is this a home or business establishment?
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Residential Home
Apartment/Condo
Business/Office
Other
Specify other:
Approximate Square Footage
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Under 1,000 sq ft
1,000–2,000 sq ft
2,000–3,000 sq ft
3,000+ sq ft
Not sure
Number of Bedrooms
0
1
2
3
4
5
6+
Number of Bathrooms
0
1
2
3
4
5
6+
Areas Needing Cleaning (Which areas need attention?)
Living Room
Kitchen
Dinning Area
Den/Family Room
Bedroooms
Bathrooms
Garage
Other
Specify others:
Cleaning Details
Select Option
Standard Cleaning
Deep Cleaning
Recurring Service
Post-Construction
Not Sure
Level of Cleaning
Select Option
Light Maintenance
Standard
Deep Intensive
Special Requests
Select Option
Inside Oven
Inside Refrigerator
Laundry Assistance
Organization Help
Pet Hair Treatment
None
When would you like service to start?
May our housekeeper take before and after photos for advertising purposes?
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Yes
No
Do you know any veterans or surviving spouses who need in-home care but cannot afford it?
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Yes
No
I consent to receive calls and text messages from Royal VIP Luxury Cleaning LLC regarding my service request. Message and data rates may apply.
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Required if texting clients.
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