* 1. Contact Information

* 2. Roommate Preference 

* 3. Preferred Arrangements

* 4. What type of housing do you prefer?

* 5. Where is your preferred location?

* 6. When are you planning to move to the area?

Date / Time
/
/

* 7. Do you / will you have your own car?

* 8. Do you prefer to have your own bedroom?

* 9. Do you / will you have a non-NCAD student living with you?

* 10. Are you a smoker?

* 11. Do You mind if your roommate(s) smoke(s)?

* 12. Do you own pet(s) that you plan to have live with you?

* 13. Have you lived with a roommate previously?

* 14. How do you like your music?

Quiet Moderate
i We adjusted the number you entered based on the slider’s scale.

* 15. Are you an organized person?

Clean Freak Very Organized
i We adjusted the number you entered based on the slider’s scale.

* 16. Do you mind if your roommate(s) borrow your things?

* 17. What are some of your favorite things to do at home?

* 18. Do you prefer the indoors or outdoors?

* 19. What type of person are you?

Morning
i We adjusted the number you entered based on the slider’s scale.

* 20. What time do you get up?

Date / Time
:

* 21. What time do you go to bed?

Date / Time
:

* 22. Are you Vegan or Vegetarian?

* 23. List any specific traits you hope to find in a roommate:

* 24. List anything else you wish a potential roommate to know about you:

DISCLAIMER: NCAD offers roommate connection assistance only as a service to the student. NCAD does not guarantee roommate compatibility. By signing below, the applicant hereby releases and discharges Art Center, Inc dba Northwest College of Art & Design, its officers, directors and employees and shall hold and save each harmless from any and all actions, claims, demands liabilities, losses or expenses of any kind which may result by reason of students request for roommate connection assistance.

By filling out this survey I authorize NCAD to release the information listed above to other NCAD students who may be looking for a roommate.

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