HOME SERVICES · CONTACT FORM TEMPLATE

Cleaning Service Quote Form

Cleaning quotes are formulaic — bedrooms, bathrooms, square footage, frequency. Capture those four fields and the customer can see a price before they hit submit.

Get free access key Copy the code

1,000/mo free·no card·works on any host

form.htmlhtml72 lines

01<form action="https://splitforms.com/api/submit" method="POST">
02  <input type="hidden" name="access_key" value="YOUR_ACCESS_KEY">
03  <input type="hidden" name="subject" value="New cleaning quote request">
04 
05  <label for="name">Full name *</label>
06  <input id="name" type="text" name="name" placeholder="Sofia Reis" required>
07  <label for="email">Email *</label>
08  <input id="email" type="email" name="email" placeholder="sofia@example.com" required>
09  <label for="phone">Phone *</label>
10  <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
11  <label for="address">Service address *</label>
12  <input id="address" type="text" name="address" placeholder="1247 Valencia St" required>
13  <label for="service">Type of cleaning *</label>
14  <select id="service" name="service" required>
15    <option value="">Choose…</option>
16    <option>Standard recurring</option>
17    <option>Deep clean</option>
18    <option>Move-in / move-out</option>
19    <option>Post-construction</option>
20    <option>Airbnb turnover</option>
21    <option>One-time only</option>
22  </select>
23  <label for="bedrooms">Bedrooms *</label>
24  <select id="bedrooms" name="bedrooms" required>
25    <option value="">Choose…</option>
26    <option>Studio</option>
27    <option>1</option>
28    <option>2</option>
29    <option>3</option>
30    <option>4</option>
31    <option>5+</option>
32  </select>
33  <label for="bathrooms">Bathrooms *</label>
34  <select id="bathrooms" name="bathrooms" required>
35    <option value="">Choose…</option>
36    <option>1</option>
37    <option>1.5</option>
38    <option>2</option>
39    <option>2.5</option>
40    <option>3</option>
41    <option>3.5</option>
42    <option>4+</option>
43  </select>
44  <label for="frequency">How often? *</label>
45  <select id="frequency" name="frequency" required>
46    <option value="">Choose…</option>
47    <option>One-time</option>
48    <option>Weekly</option>
49    <option>Bi-weekly</option>
50    <option>Monthly</option>
51  </select>
52  <label for="pets">Pets in home?</label>
53  <select id="pets" name="pets">
54    <option value="">Choose…</option>
55    <option>No</option>
56    <option>Cat</option>
57    <option>Dog</option>
58    <option>Both</option>
59    <option>Other</option>
60  </select>
61  <label for="notes">Special requests</label>
62  <textarea id="notes" name="notes" placeholder="Eco-friendly products, key access, areas to skip…"></textarea>
63 
64  <!-- honeypot — bots fill every field -->
65  <input type="checkbox" name="botcheck" style="display:none" tabindex="-1" autocomplete="off">
66 
67  <button type="submit">Send</button>
68</form>
69 
70<p style="margin-top:12px;font-size:11px;color:#888;text-align:right">
71  Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="noopener">splitforms</a>
72</p>

1,000

submissions / mo, free

fields, ready to ship

code outputs

60s

from copy to inbox

Cleaning Service Quote Form — example splitforms template with submissions inbox

§ 01Why it mattersthe qualifying-fields argument

Cleaning is the most quotable trade by form alone — beds × baths × sqft × frequency × type-of-clean is a formula that fits in 5 fields. Most cleaning sites still ask 'tell us about your home' in a textarea, then call to quote. Your competitors are using ZenMaid / Launch27 to give an instant price. The form should capture the same fields and either show an instant quote or webhook to a quoting tool that emails one within 60 seconds. Speed-to-quote is the entire conversion lever.

Webhooks into ZenMaid / Launch27 / Maidly — instant quote in under 60 seconds.

✦ at a glance

→Home cleaning quote · 10 fields
→HTML, JS, React, PHP, cURL outputs
→One POST endpoint, no SDK
→Honeypot + classifier, no CAPTCHA

§ 02Live previewinteractive · sandboxed · no key required

See exactly what your visitors see — and you’ll receive.

Left: the rendered form, fully interactive in a sandboxed iframe. Right: the email and dashboard view that lands the moment a visitor submits.

preview · cleaning-service-contact-formlocalhost:3000

✦ what you’ll see in your inbox

Every submission becomes an email plus a dashboard row. The fields below are the exact payload your form will send. Reply-to is wired to the visitor’s email so hitting reply goes back to them.

dashboard · new submission14ms · 200 OK

SUBJECT · New cleaning quote request

Full name: Maya Iyer
Email: maya@studio71.co
Phone: +1 415 555 0142
Service address: —
Type of cleaning: Standard recurring
Bedrooms: 3
Bathrooms: 2
How often?: One-time
Pets in home?: No
Special requests: Loved your last open house in Hayes — looking for similar with parking. Pre-approved through Wells Fargo.

Iframe is sandboxed — submit doesn’t actually fire. Get your access key to wire it up live.

§ 03Three steps3 steps · ~60 seconds

Generate, embed, receive.

Three actions stand between you and your first lead. None of them require a backend, a database, or a CAPTCHA library.

STEP 01GENERATE

Use the cleaning quote template

Required: bedrooms, bathrooms, square footage, frequency (one-time / weekly / bi-weekly / monthly), type (standard / deep / move-out).

Create your form

key=sk_live_••••••••

STEP 02EMBED

Show or send an instant quote

Either compute the price client-side (formula in JS) and show on submit, or webhook to ZenMaid / Launch27 / Maidly to email the quote within minutes. Both convert dramatically better than 'we'll call you'.

snippethtml

<form action="https://splitforms.com/api/submit" method="POST">
  …
</form>

STEP 03RECEIVE

Capture booking on quote acceptance

Quote email contains a 'book this' link → calendar picker → final form for date/time. The whole funnel runs without a phone call.

inbox · 1 newjust now

FROM contact@yoursite.com

New cleaning quote request

Maya Iyer maya@studio71.co

Loved your last open house in Hayes — looking for similar with parking. Pre-approved through Wells Fargo.

§ 04Copy & ship5 languages · same endpoint

Five outputs. One backend.

HTML by default. Click open the language you ship in — every variant POSTs to the same /api/submit endpoint.

01HTMLform.html72 lines

<form action="https://splitforms.com/api/submit" method="POST">
  <input type="hidden" name="access_key" value="YOUR_ACCESS_KEY">
  <input type="hidden" name="subject" value="New cleaning quote request">

  <label for="name">Full name *</label>
  <input id="name" type="text" name="name" placeholder="Sofia Reis" required>
  <label for="email">Email *</label>
  <input id="email" type="email" name="email" placeholder="sofia@example.com" required>
  <label for="phone">Phone *</label>
  <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
  <label for="address">Service address *</label>
  <input id="address" type="text" name="address" placeholder="1247 Valencia St" required>
  <label for="service">Type of cleaning *</label>
  <select id="service" name="service" required>
    <option value="">Choose…</option>
    <option>Standard recurring</option>
    <option>Deep clean</option>
    <option>Move-in / move-out</option>
    <option>Post-construction</option>
    <option>Airbnb turnover</option>
    <option>One-time only</option>
  </select>
  <label for="bedrooms">Bedrooms *</label>
  <select id="bedrooms" name="bedrooms" required>
    <option value="">Choose…</option>
    <option>Studio</option>
    <option>1</option>
    <option>2</option>
    <option>3</option>
    <option>4</option>
    <option>5+</option>
  </select>
  <label for="bathrooms">Bathrooms *</label>
  <select id="bathrooms" name="bathrooms" required>
    <option value="">Choose…</option>
    <option>1</option>
    <option>1.5</option>
    <option>2</option>
    <option>2.5</option>
    <option>3</option>
    <option>3.5</option>
    <option>4+</option>
  </select>
  <label for="frequency">How often? *</label>
  <select id="frequency" name="frequency" required>
    <option value="">Choose…</option>
    <option>One-time</option>
    <option>Weekly</option>
    <option>Bi-weekly</option>
    <option>Monthly</option>
  </select>
  <label for="pets">Pets in home?</label>
  <select id="pets" name="pets">
    <option value="">Choose…</option>
    <option>No</option>
    <option>Cat</option>
    <option>Dog</option>
    <option>Both</option>
    <option>Other</option>
  </select>
  <label for="notes">Special requests</label>
  <textarea id="notes" name="notes" placeholder="Eco-friendly products, key access, areas to skip…"></textarea>

  <!-- honeypot — bots fill every field -->
  <input type="checkbox" name="botcheck" style="display:none" tabindex="-1" autocomplete="off">

  <button type="submit">Send</button>
</form>

<p style="margin-top:12px;font-size:11px;color:#888;text-align:right">
  Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="noopener">splitforms</a>
</p>

02JavaScriptform.js88 lines

<form id="lf-form">
  <label for="name">Full name *</label>
  <input id="name" type="text" name="name" placeholder="Sofia Reis" required>
  <label for="email">Email *</label>
  <input id="email" type="email" name="email" placeholder="sofia@example.com" required>
  <label for="phone">Phone *</label>
  <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
  <label for="address">Service address *</label>
  <input id="address" type="text" name="address" placeholder="1247 Valencia St" required>
  <label for="service">Type of cleaning *</label>
  <select id="service" name="service" required>
    <option value="">Choose…</option>
    <option>Standard recurring</option>
    <option>Deep clean</option>
    <option>Move-in / move-out</option>
    <option>Post-construction</option>
    <option>Airbnb turnover</option>
    <option>One-time only</option>
  </select>
  <label for="bedrooms">Bedrooms *</label>
  <select id="bedrooms" name="bedrooms" required>
    <option value="">Choose…</option>
    <option>Studio</option>
    <option>1</option>
    <option>2</option>
    <option>3</option>
    <option>4</option>
    <option>5+</option>
  </select>
  <label for="bathrooms">Bathrooms *</label>
  <select id="bathrooms" name="bathrooms" required>
    <option value="">Choose…</option>
    <option>1</option>
    <option>1.5</option>
    <option>2</option>
    <option>2.5</option>
    <option>3</option>
    <option>3.5</option>
    <option>4+</option>
  </select>
  <label for="frequency">How often? *</label>
  <select id="frequency" name="frequency" required>
    <option value="">Choose…</option>
    <option>One-time</option>
    <option>Weekly</option>
    <option>Bi-weekly</option>
    <option>Monthly</option>
  </select>
  <label for="pets">Pets in home?</label>
  <select id="pets" name="pets">
    <option value="">Choose…</option>
    <option>No</option>
    <option>Cat</option>
    <option>Dog</option>
    <option>Both</option>
    <option>Other</option>
  </select>
  <label for="notes">Special requests</label>
  <textarea id="notes" name="notes" placeholder="Eco-friendly products, key access, areas to skip…"></textarea>
  <button type="submit">Send</button>
</form>

<p style="margin-top:12px;font-size:11px;color:#888;text-align:right">
  Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="noopener">splitforms</a>
</p>

<script>
  document.getElementById('lf-form').addEventListener('submit', async (e) => {
    e.preventDefault();
    const data = new FormData(e.target);
    data.set('access_key', 'YOUR_ACCESS_KEY');
    data.set('subject', 'New cleaning quote request');

    const res = await fetch('https://splitforms.com/api/submit', {
      method: 'POST',
      body: data,
      headers: { Accept: 'application/json' },
    });

    const json = await res.json();
    if (json.success) {
      e.target.reset();
      alert('Sent!');
    } else {
      alert('Error: ' + (json.message || 'Try again'));
    }
  });
</script>

03React / Next.jsForm.tsx103 lines

'use client';

import { useState, type FormEvent } from 'react';

export default function CleaningQuoteForm() {
  const [status, setStatus] = useState<'idle' | 'sending' | 'sent' | 'error'>('idle');

  async function onSubmit(e: FormEvent<HTMLFormElement>) {
    e.preventDefault();
    setStatus('sending');

    const data = new FormData(e.currentTarget);
    data.set('access_key', 'YOUR_ACCESS_KEY');
    data.set('subject', 'New cleaning quote request');

    const res = await fetch('https://splitforms.com/api/submit', {
      method: 'POST',
      body: data,
      headers: { Accept: 'application/json' },
    });

    const json = await res.json();
    setStatus(json.success ? 'sent' : 'error');
    if (json.success) e.currentTarget.reset();
  }

  if (status === 'sent') return <p>Thanks — we&rsquo;ll be in touch.</p>;

  return (
    <>
    <form onSubmit={onSubmit}>
      <label htmlFor="name">Full name *</label>
      <input id="name" type="text" name="name" placeholder="Sofia Reis" required />
      <label htmlFor="email">Email *</label>
      <input id="email" type="email" name="email" placeholder="sofia@example.com" required />
      <label htmlFor="phone">Phone *</label>
      <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required />
      <label htmlFor="address">Service address *</label>
      <input id="address" type="text" name="address" placeholder="1247 Valencia St" required />
      <label htmlFor="service">Type of cleaning *</label>
      <select id="service" name="service" required>
        <option value="">Choose…</option>
        <option>Standard recurring</option>
        <option>Deep clean</option>
        <option>Move-in / move-out</option>
        <option>Post-construction</option>
        <option>Airbnb turnover</option>
        <option>One-time only</option>
      </select>
      <label htmlFor="bedrooms">Bedrooms *</label>
      <select id="bedrooms" name="bedrooms" required>
        <option value="">Choose…</option>
        <option>Studio</option>
        <option>1</option>
        <option>2</option>
        <option>3</option>
        <option>4</option>
        <option>5+</option>
      </select>
      <label htmlFor="bathrooms">Bathrooms *</label>
      <select id="bathrooms" name="bathrooms" required>
        <option value="">Choose…</option>
        <option>1</option>
        <option>1.5</option>
        <option>2</option>
        <option>2.5</option>
        <option>3</option>
        <option>3.5</option>
        <option>4+</option>
      </select>
      <label htmlFor="frequency">How often? *</label>
      <select id="frequency" name="frequency" required>
        <option value="">Choose…</option>
        <option>One-time</option>
        <option>Weekly</option>
        <option>Bi-weekly</option>
        <option>Monthly</option>
      </select>
      <label htmlFor="pets">Pets in home?</label>
      <select id="pets" name="pets">
        <option value="">Choose…</option>
        <option>No</option>
        <option>Cat</option>
        <option>Dog</option>
        <option>Both</option>
        <option>Other</option>
      </select>
      <label htmlFor="notes">Special requests</label>
      <textarea id="notes" name="notes" placeholder="Eco-friendly products, key access, areas to skip…" />

      <button type="submit" disabled={status === 'sending'}>
        {status === 'sending' ? 'Sending…' : 'Send'}
      </button>

      {status === 'error' && <p>Something went wrong. Try again.</p>}
    </form>

      <p style={{ marginTop: 12, fontSize: 11, color: '#888', textAlign: 'right' }}>
        Powered by <a href="https://splitforms.com" target="_blank" rel="noopener" style={{ color: '#888', textDecoration: 'none' }}>splitforms</a>
      </p>
    </>
  );
}

04PHPsubmit.php28 lines

<?php
// Drop into a PHP page. Receives a form POST and proxies it to splitforms.com.
// Useful when you want to add server-side validation or rate limiting.

if ($_SERVER['REQUEST_METHOD'] === 'POST') {
    $allowed = ['name', 'email', 'phone', 'address', 'service', 'bedrooms', 'bathrooms', 'frequency', 'pets', 'notes'];
    $payload = ['access_key' => 'YOUR_ACCESS_KEY'];
    $payload['subject'] = 'New cleaning quote request';

    foreach ($allowed as $f) {
        if (isset($_POST[$f])) $payload[$f] = $_POST[$f];
    }

    $ch = curl_init('https://splitforms.com/api/submit');
    curl_setopt($ch, CURLOPT_POST, true);
    curl_setopt($ch, CURLOPT_POSTFIELDS, http_build_query($payload));
    curl_setopt($ch, CURLOPT_RETURNTRANSFER, true);
    curl_setopt($ch, CURLOPT_HTTPHEADER, ['Accept: application/json']);
    $response = curl_exec($ch);
    $status   = curl_getinfo($ch, CURLINFO_HTTP_CODE);
    curl_close($ch);

    header('Content-Type: application/json');
    http_response_code($status);
    echo $response;
    exit;
}
?>

05cURLtest.sh14 lines

curl -X POST https://splitforms.com/api/submit \
  -H "Accept: application/json" \
  -d "access_key=YOUR_ACCESS_KEY" \
  -d "subject=New cleaning quote request" \
  -d "name=Jane Builder" \
  -d "email=jane@example.com" \
  -d "phone=+15555555555" \
  -d "address=Jane Builder" \
  -d "service=Standard recurring" \
  -d "bedrooms=Studio" \
  -d "bathrooms=1" \
  -d "frequency=One-time" \
  -d "pets=No" \
  -d "notes=Hello from cURL"

Replace YOUR_ACCESS_KEY with the key from your dashboard. That’s the only edit.

§ 04bUse this template with…17 frameworks · same backend

One template. Every framework.

The same field set works on every framework splitforms supports. HTML, React, Next.js, Vue, Astro, Hugo, WordPress — same POST, same backend.

§ 06FAQ4 answered

Things people ask before they ship.

Direct answers, no marketing fluff. Missing one? Email hello@splitforms.com.

01Should I show pricing on the form?

Yes if your pricing is formulaic. Customers Google three competitors; the one that shows a price gets the call. Hide-the-price strategies only work if your service is genuinely differentiated — for residential cleaning, it isn't.

02Can I integrate with ZenMaid or Launch27?

Yes — webhook the form submission as JSON. Both platforms have webhook-receiving endpoints. The lead lands in your scheduling app with the property details pre-filled and an auto-quote sent.

03What about supply / square-footage estimates?

Most quoting formulas multiply $0.08-$0.15 per sqft for standard, $0.18-$0.25 for deep cleans, with a minimum. The form's sqft and type fields plug into that formula. Tune your numbers; the structure is universal.

04Do I need to capture pets and parking?

Optional but useful — pets affect time and supplies; parking affects route punctuality. Add them as 'anything we should know?' textarea. Don't make required — extra fields drop conversion 5-10% each.

✻ ✻ ✻

Ship your cleaning service quote form in 60 seconds.

1,000 free submissions per month. No credit card. Copy the snippet, paste your access key, watch leads land in your inbox.

Get free access key →Browse all 60 templates →

v0.1 · founders pricing locked in · early access open