Housing Questionnaire

Term for which you are applying: *

Name * First Last

Age *

Gender *

M F

Can you give us a brief description of your family and describe the relationships you have with each member of your family? *

Describe your present living situation (at home / college or university): *

What was the last job you had? *

Explain your typical day at your home college (clubs, activities, hobbies). *

What parts of your daily/weekly routine are most special or important to you? *

What is your favorite film and/or book and why? *

What excites you most about your study abroad experience?
What worries you most about coming to Italy (fears/concerns)? *

Would you describe yourself as... *

an introvert? an extrovert?

Try to describe the way in which you would react if you find yourself in a situation where your personality clashes with that of a person you must deal closely with: *

What are your expectations for your Italian host family? *

Are you vegetarian? *

Yes No

Is your vegetarian diet... *

Strict? Flexible?

And considering that food plays such an essential role in Italian culture we need to know very specifically what vegetarian means to you. Please decribe below: *

Do you like to have children around you? *

Yes No

Do you like animals? *

Yes No

Are you afraid of any animal in particular? *

No Yes. Which?

Are you allergic to any animal in particular? *

No Yes. Which?

Please explain how severe your allergy is: *

Do you smoke? *

Yes No

Do you like to exercise/play sports? *

Yes No

What are your favorite sports? *

What type(s) of music do you like? *

Do you play an instrument? *

No Yes. Please, specify:

Wufoo