On-Campus Questionnaire
This questionnaire is important for students to complete as it will help us to match roommates.
*All questions must be answered
Name:
Home Phone Number:
Technology:
Age:
Email:
Sex:
Female
Male
Smoking Preference:
Non Smoking
Smoking
Doesn't Matter
A. Are you:
First Born Child
Middle Child
Youngest Child
Only Child
B. Do you prefer to keep your room:
Completely Clean
Mostly Clean, occasionally in disarray
A little messy
Mostly messy
Doesn't Matter
C. I prefer to:
Stay up late, get up late
Go to bed late & get up early
Go to bed early, get up early
Go to bed early, get up late
Doesn't Matter
D. I like the following kinds of music:
Country
Christian/Gospel
Rock/Pop
Rap
Classical
Soul
Others
Doesn't Matter
* Minimum of
10
characters are required
E. What are some of your hobbies/interests?
F. What are three words your friends would use to describe you?
G. What are three words you would use to describe yourself?
H. What type of roommate would you prefer to have?
Hocking College | 3301 Hocking Parkway | Nelsonville, Ohio 45764 | USA | 1.877.HOCKING (1.877.462.5464)