Intake form

Help us serve you better

Name *

Email address *

What is your preferred gender for a roommate?

Please select at least one option.

Male

Female

No preference

What is your age range?

What is your occupation?

What is your preferred location for living?

What is your budget for rent?

What are your hobbies or interests?

Do you have any pets?

What is your smoking preference?

What is your ideal living situation?

Please select at least one option.

Quiet environment

Social atmosphere

Shared responsibilities

Independent living

How often do you expect to have guests over?

Do you have any specific requirements or preferences?

Additional questions or comments

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