Roommate Questionnaire Name * First Name Last Name Email * Phone (###) ### #### Are you requesting a specific roommate? (Requests must be mutual) If you had your choice of an apartment or a dorm room, which would you choose? * Apartment Dorm Room I don't care Are you requesting a specific room? (this is not guaranteed) Which best describes your sleeping habits? (Check all that apply) * Early Bed Early Rise Late Bed Late Rise Chaotic Which best describes your housekeeping style? * Please answer honestly Neat Moderate Messy How do you prefer the room? * Cool Warm Doesn't matter to me On a scale of 1 to 5, indicate the importance of neatness to you (1 very important and 5 of little importance to you) * 1 2 3 4 5 On a scale of 1 to 5, indicate the importance of cleanliness to you (1 very important and 5 of little importance to you) * 1 2 3 4 5 On a scale of 1 to 5, indicate the importance of privacy to you (1 very important and 5 of little importance to you) * 1 2 3 4 5 On a scale of 1 to 5, indicate the importance of quietness to you (1 very important and 5 of little importance to you) * 1 2 3 4 5 Is there anything else you would like for us to know before we make your roommate assignment? Signature * Thank you!