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Servicing Gold Coast and Tweed Heads

Booking a Cleaning Service is Simple

Please just add your details on the form below and our team will be contacted for avaiability etc aetc etc.

You can also get a free quote first if necessary, etc,…

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1. CONTACT DETAILS

1.1. Full Name *

First

Last

If you are submitting a referral for an NDIS participant, please enter your details here and complete Section 5 with the participant's information.

1.2. Organisation and Role (if applicable)

1.3. Email *

1.4. Phone Number *

1.5. Preferred Contact Method

Phone Call
Phone Message
Email
WhatsApp

2. SERVICE DETAILS

2.1. Service Required *

Domestic Cleaning
Commercial Cleaning
NDIS and DVA Cleaning
Other

2.2. Frequency *

Weekly
Fortnightly
One-off

2.3. Preferred Schedule

2.4. Service Address *

3. PROPERTY DETAILS

3.1. Bedrooms *

3.2. Bathrooms *

3.3. Levels *

Single-storey
Two-storey
Three-storey+

4. CLEANING REQUIREMENTS

4.1. Hours required per visit (if known)

4.2. Deep clean required on first visit? *

Yes
No
Not sure

4.3. Additional Comments or requirements:

* Please note that our general cleaning service includes bathrooms, kitchen, dusting, vacuuming and mopping. Additional tasks such as window cleaning, skirting boards, inside cupboards and wardrobes, general organisation, laundry and changing bed linen can be requested.

5. NDIS REFERRAL INFORMATION (if applicable)

5.1. Participant's Full Name

First

Last

5.2. NDIS Number

5.3. Participant's Contact's Details

5.4. Participant's preferred Contact Method

Phone Call
Phone Message
Email
WhatsApp

5.5. Preferred Method to Receive the Service Agreement

5.6. Plan Manager's Name

Agreement Name 2.4.

5.7. Plan Manager's Email

5.8. Participant Needs & Preferences (optional)

* Sensory Considerations/ Communication Preferences/ Access or Mobility Considerations/ Other Relevant Information

5.9. Health, Safety & Risk Information

6. Do you consent to Green Halo Cleaning liaising with the participant and relevant support providers, if required?

Why Choose Us

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