UCDC Roommate Questionnaire
Welcome to UCDC! One of the first things we need from you, after you've signed your housing contract is to fill out this Roommate Matching Survey. This tool will help us to find you a roommate while you're in the District of Columbial! Please fill out this form as openly and honestly as possible to help us match you with the best roommate for you. Please email Director of Student Services, Josh Brimmeier (
) if you have any questions! The deadline for this form to be filled out is Friday.
Age (numerical value only)
UC Los Angeles
UC San Diego
UC Santa Barbara
UC Santa Cruz
Carnegie Mellon University Washington Semester Program
University of Notre Dame Washington Program
University of Michigan
University of Pennsylvania
University of San Francisco
University Issued Email Address
Preferred Roommate- First and Last Name
In order for us to match you with your preferred roommate, BOTH you and your preferred roommate MUST list each other. If you have preferred apartment mates, please list them AFTER your preferred roommate. In order to request apartment mates, you must have a total of three individuals you are requesting, mean you will fill a four person apartment. In order for us to honor this request, ALL members of the apartment must list each other in their roommate survey.
Are you registered with your campus's Office of Disability Resources?
If you are registered with your campus's Office of Disability Resources, what, if any, special accommodations would you require? (You will be asked to provide supporting documentation from this office)
Trans Male/ Trans Man
Trans Female/ Trans Woman
Gender Queer/ Gender Non-Conforming
If you have selected Different Identity in the previous question, please state below. If not applicable please write N/A.
Do you consider yourself a member or ally of the LGBTQIA community?
Prefer not to answer
Do you smoke or use any tobacco products? (Reminder: The UCDC Center is a non-smoking building)
Are you willing to live with someone who smokes?
Regarding alcohol use
I prefer to keep my home completely sober. I don't like when my roommates participate in or show signs of alcohol consumption.
I prefer to keep my home environment sober, although I don't mind if my roommates come home after consuming alcohol.
I don't mind alcohol in my home.
It's important to me that I can bring alcohol into my home.
What is your neatness preference?
Put things away as we use them.
Straighten up before going to bed.
Clean up once a week.
Straighten up for guests.
Messy is okay.
What is your preferred communication style when addressing issues with apartment mates?
I keep my room
Very clean and in good order
Cleaned but lived in
A little messy
Messy but I know where things are
A total mess
What type of atmosphere do you prefer for your room?
Social gathering place for friends to hang out
A combination of the above
How would you describe your study environment?
I study in silence or in a quiet space
I study with some background noise
I study while listening to music or watching TV
What sleeping environment do you prefer?
TV and music are off while sleeping
TV or music while sleeping
TV or music is preferred while sleeping.
In regards to light, while sleeping what do you prefer?
Im fine with all the room lights on
What time do you prefer to go to bed during the work week? (Reminder: You're going to be going to your internship many days a week, which may mean an earlier start than you are used to on your home campus)
I would prefer visitors
be welcome anytime
leave when I sleep
leave when I sleep, unless previously discussed on an individual basis
leave when I am in the room
What situation regarding you and your roommates having overnight guests are you comfortable with?
No overnight guests
No intimate partners as overnight guests
No one of the opposite sex as an overnight guests
Most guests are welcome with discussion prior to arrival
Are you comfortable living with an animal, if so what kind? *UCDC is ADA compliant regarding service animals
No, I am not comfortable living with an animal
Due to allergies I can not live with cats or dogs
I am comfortable living with a dog
I am comfortable living with a cat
I am comfortable with both cats and dogs
Do you snore when you sleep?
I am unsure
Are you comfortable living with someone who snores?
In regards to my personal property, I am comfortable with
Allowing my roommate to use specified items
Allowing my roommate to use items only after asking for permission
What type of relationship do you hope to have with your roommate?
Find friends elsewhere
What are qualities that you desire most in a roommate?
What else do you think would be helpful for us to know about you when placing you with other students?
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