Home Sharing (seekers)

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1. What is your age?

What is your age?

2. What is your gender?

What is your gender?   Male Female

3. Have you ever lived in someone's home as a roommate?

Have you ever lived in someone's home as a roommate?   Yes No

4. If yes to question #3, did you pay rent or provide services (housekeeping, shopping, cooking, transportation, etc) in exchange for reduced or free rent?

If yes to question #3, did you pay rent or provide services (housekeeping, shopping, cooking, transportation, etc) in exchange for reduced or free rent?   Rent Services Both

5. Would you be interested in living with someone as a roommate?

Would you be interested in living with someone as a roommate?   Yes No (skip to question #8)

6. If yes to question #5, would you want to pay rent or provide services?

If yes to question #5, would you want to pay rent or provide services?   Rent Services Both

7. If yes to question #5, what requirements would you have of your roommate?

If yes to question #5, what requirements would you have of your roommate?   No smoking No pets

No alcohol Other ____________________________

8. What might attract you to having a roommate?

What might attract you to having a roommate?   Reduced rent Companionship

Nothing Other___________________________

9. What concerns do you have about sharing a living space?

What concerns do you have about sharing a living space?   I don't want to live with others I might not find anyone I like Lack of privacy

Security of my belongings Loss of government benefits Other________________________

10. Do you know of anyone who has been in a roommate situation?

Do you know of anyone who has been in a roommate situation?   Yes, they had a good experience Yes, they had a poor experience

Yes, but I'm not sure how they felt about their experience No

11. Where do you go for information about housing?

Where do you go for information about housing?