What is your name?
(First name or nickname)
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What is your e-mail address?
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On what date will you be arriving for DLV?
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On what date will you be leaving?
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Where will you be coming from?
(Select best match)
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Where will you be staying in Las Vegas?
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What is your approximate age?
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Which of the following applies to you?
I have (or will have) a room and I am looking for a roommate.
I am looking for space in a room.
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What type of room do you have, or are you looking for?
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Economy - no frills
Midscale
Luxury - upscale
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Which best describes you?
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Early to bed, early to rise
Late to bed, late to rise
No specific pattern
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Do you smoke?
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Yes
No
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Do you snore?
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Yes
No
Not that I am aware of
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I tend to be ...
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Quite talkative
Somewhat talkative
Somewhat quiet
Very quiet
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I might be described as being ...
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Quiet and subdued
Sociable
A real party animal
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Use the following text area for any additional comments, questions,
concerns, etc., that you have regarding the roommate selection
process.
(256 chars max, excess will be truncated.)
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