Roommate Matching Form

Name*

First NameLast Name

Age*

Gender*

Phone*

E-mail*

City*

Closest Airport:

You can put not sure if you don't know

How do you feel about smoking?*

Do you drink?*

What temperature is a perfect apartment?*

Do you snore?*

Music Preferences*

Are you shy or the center of attention?*

	1	2	3	4	5

1 is Quiet adult, 5 is Life of the party

Morning or night person?*

	1	2	3	4	5

1 is Early bird gets the worm., 5 is Night owl

Activity level*

	1	2	3	4	5

1 is Couch potato, 5 is Gym junkie

Sleeping Habits*

My ideal roommate is:

Any special requests?

By signing below I understand and agree the above questionnaire is answered solely at my option. I further authorize the above information to be given to other applicants. Drbluventures Travel, observes your rights as required by Equal Housing Opportunity laws. You are not required to answer the above. Every effort will be made to match roommates based on compatibility issues listed above; however, no guarantees are given nor implied. Drbluventures reserves the right to fill all vacancies. Please be aware that you are entering into a roommate-matching situation with others you may not know. This form is designated for the sole purpose of you with other roommates. The information contained within will only be used for these specific purposes. Drbluventures cannot ensure the validity of the information provided on this form. Furthermore, Drbluventures cannot promise that the roommate(s) assigned to you will meet all of the criteria requested.

Signature (with your mouse or finger if touch screen)

Passenger Profile

Location Information

Let's Find Out About You!

Tell us everything that describes you!

Only a few more questions...