BARRETT HONORS COLLEGE

THE BARRETT HONORS COLLEGE

Arizona State University

Honors Halls of Residence Student Housing Survey

2004-2005

Date submitted _________________________

Name (Please Print)_______________________________________ASU ID #_________________________________

Current Address and Phone__________________________________________________________________________

Email Address_____________________________________ Semester for which you are requesting housing__________

Age _____________ Gender _____________Class Status ______________Major_______________________________

If you have not submitted a Residential Life application, you must do so BEFORE YOU CAN BE ASSIGNED HOUSING OF ANY KIND. Residential Life (mandatory) applications are available on-line at www.asu.edu/reslife. There is a $75 Residential Life application fee. Your confirmation payment of $200 is due15 days after Residential Life assigns you a room, even if you wish to switch to honors housing or a different room. This Honors Housing survey is NOT used to obtain housing (complete the Residential Life application). It is used as a complementary tool in assessing your compatibility with possible roommates in the Barrett Honors Halls of Residence.

DO NOT SUBMIT THIS SURVEY IF THE HONORS HALLS ARE NOT YOUR FIRST CHOICE FOR HOUSING.

Please complete the following survey and return it to The Barrett Honors College, Attn: Kristen Nielsen, P.O. Box 871612, Tempe AZ 85287-1612 or fax (480) 965-0760. If you have questions regarding this survey, list them on the survey. For general questions pertaining to Housing and Housing Assignments, please contact the Office of Residential Life at (480) 965-1531.

1. I have completed and submitted a Residential Life application:

a) Yes

b) No

2. I would like to request a specific roommate:

a. Yes

b. No

Name and ASU ID of requested roommate:_______________________________________________________

(Requested roommate must list you on his/her questionnaire as well or we will not be able to honor the request.)

3. During the week, my schedule is best defined as:

a. early riser, early to bed

b. stay up late, sleep late

c. sleep from midnight to 8:00 a.m.

4. I would describe my housekeeping habits as:

a. neat

b. moderately neat

c. messy

5. I like to study with music on:

a. usually

b. occasionally

c. never

6. Which of the following best describes how you feel about sharing your personal belongings?

a. I dont mind if my roommate uses or borrows some of my belongings.

b. Some sharing is OK, but I want to be asked first.

c. I am uncomfortable with sharing my personal belongings.

7. Which type of atmosphere do you prefer for your room?

a. Quiet, study-oriented

b. Social gathering place for friends to hang out

c. Balanced combination of the above

Honors Halls of Residence Housing Survey 2002-2003 continued

ASU ID #________________________

8. Do you enjoy playing sports?

a. Yes

b. No

c. Indifferent

9. Do you enjoy watching sports on TV?

a. Yes

b. No

c. Indifferent

10. How much private time do you require?

a. None at all

b. A little each day

c. Prefer a lot of private time

11. Would you prefer a single gender or co-ed floor? (Answering yes or no does not guarantee that you will or will not be placed in your preferred housing, but your preference will be considered.)

a. Single gender

b. Co-ed

c. No preference

12. I would be willing to live with a roommate who smokes. (All of our residence halls are smoke-free, but smoking is allowed in designated smoking areas. Answering yes or no does not guarantee that you will or will not be placed in your preferred housing, but your preference will be considered.)

a. Yes

b. No

13. What type of music do you enjoy? Check all that apply.

____pop

____classical

____country

____R&B

____classic rock

____hard rock____alternative

_____other (please describe)___________________________

14. Please list any type of music you find difficult to tolerate.

15. Please list any musical instruments you play.

16.Please list any sports you play or special interests you have.

17. Additional Comments: Tell me about yourself and other qualities you would like to have in a roommate.

18. Of the above questions, which do you feel is most important in determining a roommate for you?

Question #_________

19. Please rank your top five preferences of residence halls, 1 being the hall you prefer most.

_____Best A (single gender)

_____Irish B

______Hayden Main

_____Best B (single gender)

_____Irish C

______Hayden East

_____Best C

______Hayden West

_____Best C (Engineering Community)

______Hayden Main (College of Business Community)

The Barrett Honors College and Residential Life recognize and celebrate the diversity of people in our academic and co-

curricular programs. Housing assignments are made independent of race, religion, disability, or sexual orientation. We are in

support of the universitys policies on diversity and free speech.