Qualtrics Survey | Qualtrics Experience Management

Instructions: Use these questions to guide your conversation on how you will live together. Discuss your preferences, be honest about your needs, and set ground rules.

If responses to questions are different, discuss that difference and try to reach an understanding that roommates can live with. If you discuss situations not on this form, document them as well.

Name of Roommate 1:

Name of Roommate 2:

Name of Roommate 3:

Name of Roommate 4:

Name of Roommate 5:

Name of Roommate 6:

GFH Community

Building

Apartment Number

HOBBIES & INTERESTS

What do you like to do for fun?

Can you find common interests that you all have?

CLEANING

What are your expectations around cleaning, especially for common spaces such as kitchen, living room, bathroom, and shower? Will you create a cleaning schedule?

SHARING & COMMUNAL USE

What are you comfortable sharing and not sharing?

How will you request permission to use each other's belongings?

COST OF SHARING & COMMUNAL USE

If you decide to share, will you split the cost of communal items? If so, how?

If a roommate or roommate's guest damages the other's belongings, how will you resolve this?

COMMUNICATION

How do you prefer to communicate with each other? (i.e. face to face, text, phone, etc)

How will you all communicate effectively?

How do you like to be approached if there are concerns?

SLEEP

What time do you prefer to sleep? What are your common sleeping times?

STUDYING

What are your expectations for studying?

HOUSING GUESTS / OVERNIGHT GUEST

How do you feel about having guests visiting or staying overnight?

If we want a guest to leave, how will we let each other know?

HEALTH & SAFETY

What mitigation factors against COVID-19 do we all agree to? (i.e. will wear masks anytime we are outside of our apartments, not going to parties with large groups of people, etc.)

MISCELLANEOUS

Any "pet peeves" (things that bug you) that need to be revealed and discussed?

The submission of this Roommate Agreement indicates that we have discussed this agreement and agree to abide by our mutual decisions. We understand that we are responsible for:

Our actions and the actions of our guests
Maintaining a safe and clean living environment
Treating each other and our belongings with respect
Resolving conflicts in a mature and proactive manner

If problems arise, we will start with a discussion. If we have tried and cannot resolve our concerns on our own, we will seek help from a Resident Relations Coordinator from the Graduate & Family Housing Office

Input your email if you would like an email copy of your responses.

Things may change as you learn to live together, and that's okay. GFH encourages you to revisit your responses, continue having discussions, and resubmit the Roommate Agreement with any updates.

Email of Roommate 1:

Email of Roommate 2:

Email of Roommate 3:

Email of Roommate 4:

Email of Roommate 5:

Email of Roommate 6: