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Brescia University
Related Information
Roommate Questionnaire
Please complete this form to the best of your ability and with the most honest answers you have. This form helps us to place you with a roommate which you will get along with. Even if you have a roommate selected please complete the entire form.
Your Legal Name
Your Email Address
Cell Phone/Contact Number
Gender
Male
Female
Age
I Am
A First Time Freshman
A Non-Traditional Student
A Transfer Student
Semester Requesting Room
Fall
Spring
Major
Athletic Team
Room Preference
Single
Double
Apartment (Transfers Only)
Study Habits
I like it quiet when I study
I like to listen to music/tv when I study
I like to study in loud places
I have no preference
I Go To Bed
Early (9:00pm)
Moderately Late (11:00pm)
Very Late (Midnight +)
I have no preference
I Wake Up
Early (6:00am)
Medium (7:00 or 8:00am)
Late (9:00am +)
I have no preference
I Feel This Way About My Faith
I am conservative about my beliefs
I am open about my beliefs
I prefer not to speak about my beliefs
I am accepting of everyone's beliefs
If you don't believe what I do, you are wrong
I Am A Smoker
Yes
No
I Feel This Way About Visitors In My Room
I like my time alone
I like some visitors
I like to be around people always
My Hobbies Include
TV
Sports
Video Games
Fashion
Shopping
Camping/Hiking
Movies
Crafts
Reading
Music
Art
Religion
Writing
Being Social
Relaxing
Surfing the Internet
Computers
Cooking
Cleaning
Traveling
Other Hobbies
I Like My Room To Be
Very clean and in good order
Clean but lived in
A little messy
Messy but I know where things are
A total mess
You May Share My Contact Info With My Future Roommate
Yes
No
I Prefer To Live With This Person
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