Single call (Ad hoc) Monthly Cleaning Package Laundry
   
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Customer *
Service Agreement No *
Address
Service Date

Name of Housekeeper

 
Please select where appropriate:
 
Task Quality of Service
 
Master Bedroom Poor Fair Good
Master Bathroom Poor Fair Good
Other Bedrooms Poor Fair Good
Common Bathrooms Poor Fair Good
Dining Room Poor Fair Good
Living Room Poor Fair Good
Kitchen Poor Fair Good
Waste Bin Clearence Poor Fair Good
Ironing Poor Fair Good
Overall Service Poor Fair Good
 
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