Initial Cleaning Assessment

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Bedroom (1)

• Is the furniture damage free?

  Yes

  No

  N/A

• Are the walls,doors and trim damage free?

  Yes

  No

  N/A

• Are the floors damage free?

  Yes

  No

  N/A

• Is the decor, lights, etc damage free?

  Yes

  No

  N/A

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• Overall level of cleaning? (1 easy - 10 difficult)

• Additional Notes:

Bathroom (1)

• Are the walls, doors, and trim damage free?

  Yes

  No

  N/A

• Are the floors damage free?

  Yes

  No

  N/A

• Are the faucets, toilet and drain functioning as designed?

  Yes

  No

  N/A

• Are the fixtures damage free?

  Yes

  No

  N/A

• Are the cabinets, shelves, etc damage free?

  Yes

  No

  N/A

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• Level of soap scum? (1 none - 5 heavy)

• Level of hard water staining? (1 none - 5 heavy)

• Level of mold? (1 none - 5 heavy)

• Overall level of cleaning? (1 easy - 10 difficult)

• Additional Notes:

Bedroom (2)

• Are the walls, trim, and doors damage free?

  Yes

  No

  N/A

• Are the floors damage free?

  Yes

  No

  N/A

• Is the furniture damage free?

  Yes

  No

  N/A

• Is the lights, decor, etc damage free?

  Yes

  No

  N/A

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• Overall level of cleaning? (1 easy - 10 difficult)

• Additional Notes:

Bathroom (2)

• Are the walls, doors, and trim damage free?

  Yes

  No

  N/A

• Are the floors damage free?

  Yes

  No

  N/A

• Are the faucets, toilet and drain functioning as designed?

  Yes

  No

  N/A

• Are the fixtures damage free?

  Yes

  No

  N/A

• Are the cabinets, shelves, etc damage free?

  Yes

  No

  N/A

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• Level of soap scum? (1 none - 5 heavy)

• Level of hard water staining? (1 none - 5 heavy)

• Level of mold? (1 none - 5 heavy)

• Overall level of cleaning? (1 easy - 10 difficult)

• Additional Notes:

Bedroom (3)

• Are the walls, trim, and doors damage free?

  Yes

  No

  N/A

• Are the floors damage free?

  Yes

  No

  N/A

• Is the furniture damage free?

  Yes

  No

  N/A

• Is the lights, decor, etc damage free?

  Yes

  No

  N/A

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• Overall level of cleaning? (1 easy - 10 difficult)

• Additional Notes:

Bathroom (3)

• Are the walls, doors, and trim damage free?

  Yes

  No

  N/A

• Are the floors damage free?

  Yes

  No

  N/A

• Are the faucets, toilet and drain functioning as designed?

  Yes

  No

  N/A

• Are the fixtures damage free?

  Yes

  No

  N/A

• Are the cabinets, shelves, etc damage free?

  Yes

  No

  N/A

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• Level of soap scum? (1 none - 5 heavy)

• Level of hard water staining? (1 none - 5 heavy)

• Level of mold? (1 none - 5 heavy)

• Overall level of cleaning? (1 easy - 10 difficult)

• Additional Notes:

Bedroom (4)

• Are the walls, trim, and doors damage free?

  Yes

  No

  N/A

• Are the floors damage free?

  Yes

  No

  N/A

• Is the furniture damage free?

  Yes

  No

  N/A

• Is the lights, decor, etc damage free?

  Yes

  No

  N/A

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• Overall level of cleaning? (1 easy - 10 difficult)

• Additional Notes:

Bathroom (4)

• Are the walls, doors, and trim damage free?

  Yes

  No

  N/A

• Are the floors damage free?

  Yes

  No

  N/A

• Are the faucets, toilet and drain functioning as designed?

  Yes

  No

  N/A

• Are the fixtures damage free?

  Yes

  No

  N/A

• Are the cabinets, shelves, etc damage free?

  Yes

  No

  N/A

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• Level of soap scum? (1 none - 5 heavy)

• Level of hard water staining? (1 none - 5 heavy)

• Level of mold? (1 none - 5 heavy)

• Overall level of cleaning? (1 easy - 10 difficult)

• Additional Notes:

Bedroom (5)

• Is the furniture damage free?

  Yes

  No

  N/A

• Are the walls,doors and trim damage free?

  Yes

  No

  N/A

• Are the floors damage free?

  Yes

  No

  N/A

• Is the decor, lights, etc damage free?

  Yes

  No

  N/A

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• Overall level of cleaning? (1 easy - 10 difficult)

• Additional Notes:

Bathroom (5)

• Are the walls, doors, and trim damage free?

  Yes

  No

  N/A

• Are the floors damage free?

  Yes

  No

  N/A

• Are the faucets, toilet and drain functioning as designed?

  Yes

  No

  N/A

• Are the fixtures damage free?

  Yes

  No

  N/A

• Are the cabinets, shelves, etc damage free?

  Yes

  No

  N/A

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• Level of soap scum? (1 none - 5 heavy)

• Level of hard water staining? (1 none - 5 heavy)

• Level of mold? (1 none - 5 heavy)

• Overall level of cleaning? (1 easy - 10 difficult)

• Additional Notes:

Bedroom (6)

• Is the furniture damage free?

  Yes

  No

  N/A

• Are the walls,doors and trim damage free?

  Yes

  No

  N/A

• Are the floors damage free?

  Yes

  No

  N/A

• Is the decor, lights, etc damage free?

  Yes

  No

  N/A

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• Overall level of cleaning? (1 easy - 10 difficult)

• Additional Notes:

Bathroom (6)

• Are the walls, doors, and trim damage free?

  Yes

  No

  N/A

• Are the floors damage free?

  Yes

  No

  N/A

• Are the faucets, toilet and drain functioning as designed?

  Yes

  No

  N/A

• Are the fixtures damage free?

  Yes

  No

  N/A

• Are the cabinets, shelves, etc damage free?

  Yes

  No

  N/A

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• Level of soap scum? (1 none - 5 heavy)

• Level of hard water staining? (1 none - 5 heavy)

• Level of mold? (1 none - 5 heavy)

• Overall level of cleaning? (1 easy - 10 difficult)

• Additional Notes:

Kitchen

• Level of hard water staining? (1 none - 5 heavy)

• Level of grease/oil? (1 none - 5 heavy)

• Overall level of cleaning? (1 easy - 10 difficult)

• Are the floors damage free?

  Yes

  No

  N/A

• Are the walls, doors and trim damage free?

  Yes

  No

  N/A

• Are the cabinets, drawers, shelves damage free?

  Yes

  No

  N/A

• Is the decor, lights, etc damage free?

  Yes

  No

  N/A

• Are the appliances damaged free?

  Yes

  No

  N/A

• Are the faucets damage free and functioning as designed?

  Yes

  No

  N/A

• Is the garbage disposal working as designed?

  Yes

  No

  N/A

• Does the drink drain properly?

  Yes

  No

  N/A

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• Additional Notes

Dining Room

• Are the walls, doors and trim damage free?

  Yes

  No

  N/A

• Are the floors damage free?

  Yes

  No

  N/A

• Is the decor, lights, etc damage free?

  Yes

  No

  N/A

• Is the furniture damage free?

  Yes

  No

  N/A

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• Overall cleaning level? (1 easy - 10 hard)

• Additional Notes:

Living room

• Overall cleaning level? (1 easy - 10 hard)

• Are the walls, trim and doors damage free?

  Yes

  No

  N/A

• Are the floors damage free?

  Yes

  No

  N/A

• Is the furniture damage free?

  Yes

  No

  N/A

• Is the lights, decor, etc damage free?

  Yes

  No

  N/A

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• Additional Notes:

General Home

• Is the home free of bugs, reptiles, rodents etc.

  Yes

  No

  N/A

• Are the floors damage free?

  Yes

  No

  N/A

• Are the walls, doors and trim damage free?

  Yes

  No

  N/A

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• Overall level of cleaning? (1 easy - 10 difficult)

• Additional Notes:

Additional Areas

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• What room/area?

• Is there any other damage needed to be notated?

  Yes

  No

  N/A

• What room/area in home?

• Overall level of cleaning? (1 easy - 10 difficult)

• Additional Notes: