Homejoy Cleaning - New Client Intake Form

Client Information:

  • Full Name:
  • Phone Number:
  • Email Address: 
  • Mailing Address:

Property Information:

  • Property Address:
  • Square Footage: (Estimated)
  • Number of Bedrooms:
  • Number of Bathrooms:

Service Preferences:

  • Preferred Cleaning Schedule: (Weekly, Bi-weekly, Monthly, One-time)
  • Frequency of Service: (Every ____)
  • Typical Start Time: (Morning/Afternoon)

Access Information:

  • Key Access: (Yes/No)
  • If yes, number of keys provided: _____
  • Key Location: (Lockbox, Under Doormat, etc.)
  • Alarm System: (Yes/No)
  • If yes, alarm code (Optional): _____ (**Please note: This information will be kept confidential and only used for emergency access.)

Special Instructions:

  • Areas requiring special attention: (e.g., high shelves, pet areas)
  • Preferred cleaning products: (if any)
  • Pets: (Yes/No) If yes, type and number of pets: _____
  • Any allergies or sensitivities: (e.g., dust mites, specific cleaning products)

Homejoy Cleaning Service Agreement:

This agreement outlines the terms and conditions for services provided by Homejoy Cleaning ("Company") to the Client ("Client").


The Company agrees to provide professional cleaning services at the Client's residence according to the agreed-upon schedule and service level. This may include, but is not limited to:

  • Vacuuming carpets and rugs
  • Mopping floors
  • Dusting furniture and surfaces
  • Cleaning bathrooms and kitchens
  • Emptying trash cans

Payment Terms:

  • Standard cleaning rates:
    • Studio/1 bedroom: $XX - $XX
    • 2 bedroom: $XX - $XX (Estimated for your 2 bedroom, 2 bath house: $XX - $XX)
    • 3 bedroom: $XX - $XX
    • Additional fees may apply for deep cleaning or special requests.
  • Payment is due in full upon completion of service. We accept cash, check, or credit card.

Cancellation Policy:

  • Cancellations with less than 24 hours' notice will be charged a full cleaning fee.


The Company maintains general liability and worker's compensation insurance. Our insurance details are available upon request.

Liability Disclaimer:

The Company is not responsible for any damage or loss to the Client's property unless proven to be due to the Company's negligence.

Client Signature: 

Company Representative Signature: