Roommate Survey

Name *

First Name

Last Name

As far as sleeping habits, I am a: *

Morning person

Night person

Neither

Do you smoke? *

Yes

No

I envision my room as: *

lively, social place for friends to hang out

homey place for low-key gatherings

quiet place to study

As far as cleanliness, I consider myself: *

Extremely clean and organized

Moderately clean and organized

Clean, but unorganized

Moderately messy and unorganized

Very messy and unorganized