Dormitory Preference Survey
Help us understand your preferences to provide the best possible dormitory experience.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Academic Status
*
Please Select
Undergraduate
Graduate
Exchange Student
Other
Preferred Room Type
*
Single Room
Double Room
Triple Room
No Preference
Please rate the importance of the following amenities for your dormitory experience.
*
Rows
Not Important
Slightly Important
Important
Very Important
Wi-Fi
1
2
3
4
Laundry Facilities
5
6
7
8
Study Lounges
9
10
11
12
Gym/Fitness Center
13
14
15
16
Kitchen Access
17
18
19
20
Lifestyle Preferences (Select all that apply)
Prefer a quiet environment
Prefer a social environment
Early riser
Night owl
No preference
Other
Roommate Preference (Select all that apply)
No preference
Same academic program
Similar lifestyle
Non-smoker
Other
Do you have any accessibility or special accommodation needs?
*
Yes
No
If yes, please describe your accessibility or accommodation needs.
Please rank your preferred dormitory buildings (1 = most preferred, 5 = least preferred).
*
Rows
Rank
Dorm A
1
2
3
4
5
Dorm B
1
2
3
4
5
Dorm C
1
2
3
4
5
Dorm D
1
2
3
4
5
Dorm E
1
2
3
4
5
Additional comments or specific requests regarding your dormitory assignment.
Submit Survey
Should be Empty: