(your name)

(your e-mail)

(your phone)

(your address)

(when do you need cleaning?)

(starting time)

——10am11am12pm1pm2pm3pm4pm5pm6pm

(How long would you need to finish cleaning?)

——about 1hrabout 2hrabout 3hrabout 4hrabout 5hrover 6hr

(where do you need to be clean?)

Kitchen
Bathroom
Bedroom
Toilet
Vacuum cleaning

(Do you have a vacuum?)

I have a vacuum.
I don’t have a vacuum.

(comment)