This questionnaire was developed to assist us in locating
a suitable roommate 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.
Street Address & Apartment #:
address information is for office use only and it will NOT
be posted with your listing)
Cross Street or Intersection:
Your Contact E-mail:
Best Hours to Call (M–F)
Your apartment has:
total bedrooms & bathrooms are in your apartment)
The available bedroom is:
square feet or length by height)
Average monthly utilities
(enter the per roommate
amount or $0 if utilities are included in the rent)
Where is your apartment
Chelsea East Village/Lower East Side
Greenwich Village/West Village
SoHo and Below
Upper East Side
Upper West SideAbove 130th. St. Staten Island
Your Neighborhood Name:
How long you have been in your
Date the room is available:
Length of share:
Please check off the following services & amenities that are applicable to your share:
Other apartment or building services/amenities:
Do you smoke?
Do you have any pets?
What typical weekday hours do you usually keep?
(Please, indicate from a.m. or p.m.)
What is your roommate gender preference?
What is your roommate age preference?
You can choose more than one range
by holding down the Ctrl key and then selecting the desired ranges.
What is your smoking preference in a roommate?
What is your lifestyle preference in a
Hobbies and interests:
Answer below if additional roommates will be
in your apartment.
Roommate No. 1 (other than yourself) Please fill out the following 4 questions for each additional roommate living in apartment
Other Roommate‘s Age:
Other Roommate‘s Occupation:
Roommate No. 2 (other than yourself) Please fill out the following questions for each additional roommate living in apartment
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? Yes
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?
& TERMS OF SERVICE
The content of the information appearing in the listings provided by Rainbow
Roommates to its client is the sole responsibility of those
persons posting the information. Rainbow
Roommates has no control over the information provided by
potential roommates, and cannot guarantee the accuracy, integrity or
quality of that information. Customers
should rely on their own judgment and critical evaluation of
the information provided. Rainbow
will not be liable in any way for any content that may
appear in its listings, including, but not limited to, for any errors,
omissions, or misrepresentations, or for any lost profit, loss, or damage
of any kind incurred as a result of the use, or misuse, of any information
provided in such listings.
are non-transferable. Any information provided is for customers’
personal use only. Unauthorized transfer of a Rainbow Roommates
Membership will result in termination of this agreement.
Roommates Memberships will be processed in the order received.
The activation of a membership and receipt of your first listing will not
happen automatically after signing up online. Activation may be delayed,
depending on the number of applications that precede yours. However,
service is deemed to commence at the time the customer has access to the
Roommatesis not responsible for any
Internet failure or periodic downtime due to systems upgrades.
By initializing here I agree to
the above disclaimer & terms of service.
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If you have pictures of the
apartment or room that you would like to include with your listing, send them to
us via email
and we will include them in your listing.