To further safeguard everyone involved, we require our client to complete this form before availing of our cleaning services. Your cooperation in providing accurate information is essential in maintaining a safe environment for everyone.
Please answer the following questions honestly:
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
I hereby declare that the information provided above is true and accurate to the best of my knowledge. I understand that providing false information may put others at risk and may result in the cancellation of cleaning services.
Name:
Date:
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