Thank you for contacting Sansone Carpet, Drapery & Upholstery Cleaners regarding our services. We have a questionnaire below that will help give us an idea of what you're looking for and also a way to have a productive phone meeting. If you have any questions, please let us know.

Some initial contact info:

First Name:

   Last Name:

E-mail:

   Phone:
Address:

  City:
State:


   Postal Code:

Is the residence completely empty?

Yes | No

What services are you interested in having us undertake?
For example:

Carpet Cleaning
Furniture Cleaning
Ceramic Tile and Grout Cleaning
Drapes Cleaned (Required Onsite Visit)

What carpet areas do you want cleaned? (Please give approximations)*
1st Room
 Length
 Width
 Do you want your furniture moved for you? **
Yes | No 		Scotchguard  
 Deodorize
2nd Room
 Length
 Width
 Do you want your furniture moved for you? **
Yes | No 		Scotchguard
 Deodorize
3rd Room
 Length
 Width
 Do you want your furniture moved for you? **
Yes | No 		Scotchguard
 Deodorize
4th Room
 Length
 Width
 Do you want your furniture moved for you? **
Yes | No 		Scotchguard
 Deodorize
5th Room
 Length
 Width
 Do you want your furniture moved for you? **
Yes | No 		Scotchguard
 Deodorize
6th Room
 Length
 Width
 Do you want your furniture moved for you? **
Yes | No 		Scotchguard
 Deodorize
7th Room
 Length
 Width
 Do you want your furniture moved for you? **
Yes | No 		Scotchguard
 Deodorize
8th Room
 Length
 Width
 Do you want your furniture moved for you? **
Yes | No 		Scotchguard
 Deodorize
9th Room
 Length
 Width
 Do you want your furniture moved for you? **
Yes | No 		Scotchguard
 Deodorize
10th Room
 Length
 Width
 Do you want your furniture moved for you? **
Yes | No 		Scotchguard
 Deodorize
11th Room
 Length
 Width
 Do you want your furniture moved for you? **
Yes | No 		Scotchguard
 Deodorize

*   Estimates are based on the information that is provided and are approximations.
** No extra charge for moving furniture.  Charge is based on actual square footage cleaned.

What stairs do you want cleaned?

Stairs#1
 How Many Stairs
 Scotchguard    
 Deodorize
Stairs#2
 How Many Stairs
 Scotchguard    
 Deodorize
Stairs#3
 How Many Stairs
 Scotchguard    
 Deodorize

What furniture do you want cleaned?

Furniture#1
 How Many Pieces of Furniture
 Scotchguard    
 Deodorize
Furniture#2
 How Many Pieces of Furniture
 Scotchguard    
 Deodorize
Furniture#3
 How Many Pieces of Furniture
 Scotchguard    
 Deodorize
Furniture#4
 How Many Pieces of Furniture
 Scotchguard    
 Deodorize
Furniture#5
 How Many Pieces of Furniture
 Scotchguard    
 Deodorize
Furniture#6
 How Many Pieces of Furniture
 Scotchguard    
 Deodorize

When would you like to start this project?

Immediately
1 - 5 days or so
1 - 4 weeks
More than 1 month

Please tell us of any other information that you believe might be useful in the text box below:

And finally, We are always interested in finding out if our own marketing efforts have been successful. Can you tell us how you found us?


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