Lifestyle and Personality Questionnaire

The purpose of this questionnaire is to help Elite Senior HomeShare thoughtfully match compatible housemates. There are no right or wrong answers. Your responses will be used solely to support a comfortable, respectful and successful home-sharing arrangement.

Section 1: Applicant Information

First Name (required) __________________________________ Last Name (required) ____________________________________
Date of Birth (Applicants must be age 50 or older) ____________________________________
Phone Number (required) _________________________________________
Email Address (required) __________________________________________
Current Address: ____________________________________________________________________
What is your desired move date? _______________________________________________
What is your maximum monthly budget? _______________________________________
Do you have any location preference? If yes, what are your preferences? ____________________________________________

Daily Lifestyle & Routine

How would you describe your typical daily schedule?
☐ Early riser
☐ Standard daytime routine
☐ Late riser / night owl
☐ Varies day to day
How active are you during a typical week?
☐ Very active (out most days)
☐ Moderately active
☐ Mostly at home
☐ Varies
Do you work outside the home, from home or are you retired?
☐ Employed outside the home
☐ Work from home
☐ Retired
☐ Other: ________________________________

Social Preferences

Which best describes your ideal living environment?
☐ Quiet and private
☐ Balanced—some interaction, some privacy
☐ Social and interactive
How often would you like to socialize with a housemate?
☐ Rarely
☐ Occasionally
☐ Frequently
☐ Flexible / no preference
Are you comfortable sharing meals or common activities occasionally?
☐ Yes
☐ No
☐ Occasionally

Home Environment Preferences

How would you describe your cleanliness standards?
☐ Very tidy
☐ Reasonably neat
☐ Relaxed
☐ Flexible as long as common areas are maintained
How do you feel about sharing common areas such as the kitchen and living room?
☐ Very comfortable
☐ Comfortable with clear guidelines
☐ Prefer minimal sharing
Preferred noise level in the home:
☐ Very quiet
☐ Moderate
☐ Flexible

Visitors & Household Dynamics

How often do you expect to have visitors?
☐ Rarely
☐ Occasionally
☐ Frequently
☐ Varies
Are you comfortable with a housemate having occasional guests?
☐ Yes
☐ No
☐ With prior notice
Are you open to shared house rules regarding guests, quiet hours and common areas?
☐ Yes
☐ No
☐ Prefer to discuss

Health, Habits & Considerations

Do you smoke?
☐ No
☐ Yes (outside only)
☐ Yes (inside)
Are you comfortable living with a housemate who smokes?
☐ Yes
☐ No
☐ Outside only
Do you have pets?
☐ No
☐ Yes (please describe): __________________________________
Are you comfortable living with pets?
☐ Yes
☐ No
☐ Depends on type/size
Do you have allergies or sensitivities we should be aware of?
☐ No
☐ Yes (please explain): ____________________________________

Personality & Communication

How do you typically handle household concerns or conflicts?
☐ Prefer open discussion
☐ Prefer written communication
☐ Prefer involvement of a third party if needed
How would you describe your personality? (Select all that apply)
☐ Easygoing
☐ Structured
☐ Independent
☐ Social
☐ Quiet
☐ Flexible
What qualities are most important to you in a housemate?
________________________________________________________________________________________

Additional Information

Is there anything else you would like us to consider when matching you with a housemate?
________________________________________________________________________________________

Acknowledgment

☐ I confirm that the information provided is accurate to the best of my knowledge and understand it will be used solely for compatibility-based matching through Elite Senior HomeShare.