Name

Address

Postcode

Home Phone Number

Work Phone Number

Mobile Phone Number

E-mail Address

Hours per Week

Days of the Week

Mon Tues Wed Thurs Fri
Sat Sun

Bedrooms

0 1 2 3 4 5 6+

Bathrooms

0 1 2 3+

Reception

0 1 2 3 4+

Levels

0 1 2 3+

Ironing Services

Yes No Ironing Only

Are there any pets?

Yes No

Cleaner to have keys?

Yes No

Further Comments