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.

Please fill in completely.

First Name: Last Name:
E-mail: Phone Number:
Would you consider renting an apartment yourself or with a roomate ?
Would you like to be contacted by rommates with the apartments ?
Would you to be contacted regarding related services from our partners such as:
storage, moving services, cleaning services and furniture rentals, etc ?
Your occupation/industry:
Your sexual orientation:(optional)
Your age:
Your gender:
Do you smoke:
Have you used Rainbow Rommates before:
If not, how did you find out about us:
Do you have pets:
Hobbies and interests:
Date you wish to move: (mm/dd/yy)
Preferred accommodation:
Prefereed neightborhoods:
Maximum monthly rent: $
Your rommate preferences:
Please list one personal/professional reference:
Listing Types:
Short Term Listings = Share for 1-6 months, with occasional possibility of extension.
Long Term Listings = Share for 6+ months.
Absentee Listings = Share with rommate who is not present in the apartment full time.
Please select the listing service you want to subscribe to ?
Include Contact Assistance for an additional $75.00
With Contact Assistance, we will work with you personally to assist you in contacting prospective rommates and help coordinate your roomate interviews.
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Your Credit / Debit Card Information:
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By initializing here I agree to the above disclaimer & terms of service.
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