House sharing - questions for potential housemate
About
This sheet contains a list of questions to ask a "potential housemate" - someone who, after inspecting the house and chatting with the current housemates, is genuinely interested in moving in soon. Keep in mind these questions are not meant to be offensive or make you feel nervous - it's mostly a way for us to (a) get to know you better, (b) collect your contact details (so we can get back to you soon), (c) make sure we don't forget any important questions and (d) to break the ice! :-)
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Basic Info and Contact Details:
- Name: ________________________________
- Mobile phone: _________________________
- Home phone: _________________________
- E-mail address: _________________________
- Date of Birth: ____________________
- How did you find out about the room: ____________________
- Date of visit: ____________________
If you were to become my new housemate:
- How soon were you thinking about moving in: ___________________________________
- How long are you likely to stay in the house: ___________________________________
- What factors are likely to affect the duration of your occupancy: (eg. study, employment, family etc)
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Personal:
Background
- Where are you living now (i.e. what suburb): ______________________________
- Have you had experience living in share house(s) before: __________________________________________
- Tell me about the last place you lived: ___________________________________________
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- What are/were the reasons for moving out of your last share house (and/or family home):
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- Where are you from originally?: _______________________________________________________
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- Tell me a little about your hobbies/interests: (shopping, sports or sleeping-in)
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Family
- Where does your family live?: ____________________________________________
- Any brothers or sisters?: ___________________________________________________
- Tell us about your family: ________________________________________________________
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- Would your family ever want to visit or stay with us?
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Other
- Would you describe yourself as energetic or laid-back? ________________________________
- Do you consider yourself a neat person? ________________________________
- Do you like bringing friends around often? _____________________________
- Do you smoke: yes / no / rarely
- How often do you go out clubbing / pubbing etc?: _____________
- How often do you drink?: ________________________________________
- Do you have any special dietary requirements, medical conditions or religious beliefs: ______________________________
- Do you have a criminal record or do any drugs?: _____________
- Do you have any major concerns if you were to move into the house?
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Relationship Status
- What is your relationship status? __________________________________
If you have a boyfriend and/or girlfriend:
- Tell us about them: ______________________________________________________________
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(name, occupation, personality, criminal record etc.) :-)
- How often are they likely to be around: __________________________________________
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- Do you foresee any chance they'll ever want to move in: ___________________________
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NOTE: As a policy if someone in the house has a girlfriend or boyfriend, it's nice if we can all meet them and get along - especially if they are likely to be around a lot. And if you have "relations" it's obviously important to be considerate - the walls may be thin!
BIGGER NOTE: At times friend or significant others may want to stay for a while. Within our house any stay must be discussed and mutually agreed upon in advance. If an extra person stays longer than _____ weeks in your room, they will be expected to pay their fare share of utilities and your room rent will increase a bare MINIMUM of _____. No matter how nice the person, mooching (staying for free) always leads to resentment, so we ask everyone to sign below. A person can also be considered "moved in" if they sleep over more than ______ nights a week - regardless of whether they have their own place (if no entries are written we suggest 3, 30% and 4 before the applicant signs).
- If someone you know moves in, will you be accountable for them paying this extra amount: ______
I agree to the terms above and the truthfulness of all my answer on this form.
Name: __________________ Signature: ____________________
Income / work / study
- What is your occupation(s)? _________________________________________ (what do you do?)
- What kind of hours do you work? _____________________________________ part-time / casual / full time
- Are you a student? ______________________ :-)
- What are you studying? _____________________________________
(NOTE: If you have finished studying and belong to the "real world" you can write down what you use to study)
- What is your main source of income? ________________________________
- Can you comfortably afford rent each week, plus share in the quarterly bills ie water, electricity and gas? _____________
- Do you have a financial "back-up"? ________________________________ (eg: parents)
Transport and Possessions
- Do you have a car? _______________________________________________________________
- What is your main method of getting around? ______________________________________
- Do you have any pets? __________________________________
- How much furniture do you have? _________________________________________________
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- What type of communal items will you bring to the house? _________________________
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- If you do move in how far would you have to move your stuff and how long might it take? (maybe we can help)
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- Did you like the room? ___________________________________
- Did you find this form creepy and/or how could we improve it?! _________________________
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