ROOMMATE TO ROOMMATE

Interactive Communication Skills 

Each resident should discuss the items listed on the “ROOMMATE TO ROOMMATE” Questionnaire sheet with their roommate.  All play a vital role in the relationship between roommates and their visitors.  In order to participate in coed visitation, all FSU residents are required to complete this questionnaire.  All roommates should discuss on each of the following and attempt to resolve any problems or conflicts that may arise as a result of the dialogue (i.e., visitors, borrowing items without consent, use of CD’s or receive phone calls).  Upon completion, please return the worksheet to your Hall Director.  Roommates are requited to sign the discussion sheet before coed privileges are granted.

QUESTIONNAIRE
 

1. I’m looking forward to visitation.  Agree_____ Disagree_____
    
2. My roommate /suite mates would like visitation.  (Circle the following) M, T, W, TH, F, Sat., Sun., Daily, Specify_______________________________________
    
3. Visitation hours are from 7:00 p.m. until 12:00 midnight Monday- Thursday and 6:00p.m. through 12:00 midnight Friday Thru Sunday.  Hours should be reduced or modified.  Please specify.
   __________________________________________
    
4. Daily visitation hours should be restricted? ______________ Specify, the restricted hours.
    
   ____________________________________________________
    
5. Visitation may restrict my study hours.  Yes ____ No____  

(Roommate A. Initials____  Roommate B. Initials____).

6. Any visitor may use the telephone. Yes ____ No____ 

(Roommate A. Initials____  Roommate B. Initials____).

7. Sharing my personal items with guest is okay. Yes ____ No____

(Roommate A. Initials____  Roommate B. Initials____).

8. Each resident must discuss concerns when conflicting relationships exist.

Yes ____ No____ 

(Roommate A. Initials____  Roommate B. Initials____).

9. Does each roommate understand that he/she is responsible for his/her guest?

Yes ____ No____ 

(Roommate A. Initials____  Roommate B. Initials____).

10. My roommate and I have discussed all issues and concerns. Yes ____ No____ 

(Roommate A. Initials____  Roommate B. Initials____).

11. Guest can feel to sit on my bed?  Yes ____ No____ 

(Roommate A. Initials____  Roommate B. Initials____).

12. My roommate will allow guest to sit on their bed.  Yes ____ No____ 

(Roommate A. Initials____  Roommate B. Initials____).

**** NOTE IF YOU HAVE MARKED AN ANSWER THAT DIFFERENTIATES FROM THE ANSWER THAT YOUR ROOMMATE HAS GIVEN, PLEASE SPECIFY BESIDE THE ITEM AND INITIAL. ****

SMOKING IS STRICTLY PROHIBITED IN ANY OF THE ROOMS OR SUITES!

Residence Hall: __________________________________________________________

Name:  _______________________________________  Room #___________________

Name:  _______________________________________  Room #___________________

Contact Information for the Office of Residence Life:
Direct Number: 910-672-1284
Toll Free: 1-888-539-1616
Fax: 910-672-1286
Email: Reslife@uncfsu.edu