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    Personal data

    Name*


    Surname*


    Age*


    Gender (if relevant for matching)*


    Telephone number / Email*

    Room sharing preferences

    Yes

    No, I prefer a single room (if available)

    Roommate preferences:

    No preference

    I prefer to share with

    A person of the same sex

    A person of the same age (or age range)

    A person I already know (specify below)

    Name of the requested partner (if already agreed):*

    Personal habits

    These items help avoid incompatibilities:
    You are a person:

    Morning

    Night

    Indifferent

    Are you a light sleeper?

    Yes

    No

    Snoring or other known sleep disturbances (optional):

    You have special needs (e.g., medications, allergies, need for silence, etc.):

    Other preferences

    General preferences for who to share the room (optional):

    Non-smoker

    Tidy

    Silent
    Other:

    Permissions

    I agree that my information will be used exclusively for organizational purposes related to room accommodation.

    Yes

    No