The Best Housekeepers, Maids and Housekeeping Services in Contra Costa County

Service Plus Form In an effort to better pinpoint your housekeeping needs, we provide you with the option of Service Plus. Simply fill out this form, click on the 'Submit Form' button, and it will be part of your permanent record with us.

Name
Street
City
Zip
E-mail
H Phone
W Phone
C Phone

1) Have you had housekeeping help previously? Yes No

2) Have you had any problems with previous housekeepers? If so, please indicate the ones you found most difficult:
	Unreliable Untrustworthy
	Arrived late Poor attitude
	Sloppy work Left early
	Didn't follow directions High turnover
Other:

3) List specific item, if any, that previous housekeepers have missed or cleaned poorly:


4) Which of the following best describes the way you would like your house cleaned?
	I want as much of the house as possible cleaned each time - concentrate on what can be seen.
	Speed is not crucial, but I want a very thorough job done on the basics (floors, showers, obvious dusting, etc.)
	The details are most important to me (baseboards, picture frames, under beds, etc.)
	Deep clean one room each time and do a good once over on the rest of the house.
Other (describe)


5) If you could choose one thing that says 'clean house' to you, what would it be?


6) In case everything can't be finished in the time scheduled, what are your priorities?


7) Indicate in order of priority the characteristics of a housekeeper that are most important to you: (1 - 8)
	Follows my directions
	Self-directed
	Punctual
	Dependable
	Long-term commitment
	Fluent in English
	Friendly
	Businesslike
Other:

8) List in order of preference, the day and time you would like service.
	Mon	Tues	Wed	Thurs	Fri
	Morning Afternoon
	Doesn't matter

9) Is there any other information you would like to have as part of your permanent record with us?



10) Would you like to receive extra brochures for friends?
	Yes No If so, how many?

Service Plus Form