This questionnaire was developed to assist us in locating a suitable roomate for you in the New York City Area.
Please feel free to email us any additional information which you believe would help us throughout this process.
First Name: Last Name:
Street Address & Apartment #:
City: State: Zip Code:
Cross Street or Intersection:
Phone Number:
Your Contact E-mail:
Best Hours to Call (M-F):
Your apartment has:
Your Floor Number:
The available bedroom is:
Room Size:
Monthly rent for rommate to pay ($):
Is a security deposit required?
Average monthly utilities per rommate:
Where is your apartment located?
Your Neighborhood Name:
How long you have been in your apt?
Date the room is available: (mm/dd/yy)
Length of share:
Please check off the following services & amenities that are applicable to your share:
Other apartment or building services/amentities:
Your Age: Your Gender:
Do you smoke?
Do you have any pets? Other
What typical weekday hours do you usually keep?
What is your roommate gender preference?
Couples considered
What is your roommate age preference?
What is your smoking preference in a roomate?
What is your pet preference?
What is your lifestyle preference in a roomate?
Hobbies and interests:
Answer below if additional roommates will be in your apartment.
Additional Roommate No. 1 (other than yourself)
Other Roommate's Age:
Other Roommate's Occupation:
Additional Roommate No. 2 (other than yourself)
Other Roommate's Age:
Additional Roommate's Occupation:
Please enter any additional comments or information about yourself, your share or living space:
250 character maximum
Have you used Rainbow Roommates before?
If not, how did you find us?
Would you also consider renting (on a daily or weekly basis) your room/space to short term guests that are visiting or on vacation to NYC?
Would you like information regarding related services such as: free home security review, apartment cleaning services, storage & moving services, and furniture rentals?
By initializing here I agree to the above disclaimer & terms of service.
<< your initials here
If you have pictures of the apartment or room that you would like to include with your listing, send them to us via email to [email protected] and we will include them in your listing.