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Your Name

Your Email address

Your Contact Number

When is service needed?

How many and which rooms are affected?


















What caused the stain?

Don’t knowPet urineRed wineWhite teaBlack teaWhite coffeeBlack coffeeBloodVomit crayonsSlimeRed foodMascaraNail polishPaintBike chain greaseHair dye

How old is the stain?

Has cleaning been attempted ?

YesNo

What have you tried to clean it with?

No I haven’tVanishWaterWashing up liquidBaking SodaAlcoholSolventsome other product

What are your carpets made of?

Don’t knowWoolSyntheticCoirSisalSilkViscoseNylon

How old is your carpet or rug?

New1 year old2 years old3 years old4 years old5 years old6+ years old

Has it been professionally cleaned before?

Never1 year ago2 years ago3 years ago4 years ago5 years ago6+ years ago

Has it been stain protected with Scotchguard?

YesNoDon't know

Is there anything else you would like us to know?
Please use the space below

Thanks for helping us understand your requirements.

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