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CoLife
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CoLife
Personal
Name
*
First Name
Last Name
Email Address
*
Phone
*
(###)
###
####
Do you identify as Christian?
*
Co-Life is initially geared towards those who self identify as Christian. The reason behind this is to help create as great of an overlap in values as possible to ensure a positive experience. If you do not identify as Christian we will reach out to you as we grow and open more options.
I identify as Christian
I am not Christian
I am a...
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Single Female 20-27
Single Female 28-35
Single Female 36-43
Single Female 44-51
Single Female 52-60
Single Female 61-70
Single Female 70 +
Single Male 20-27
Single Male 28-35
Single Male 36-43
Single Male 44-51
Single Male 52-60
Single Male 61-70
Single Male 70 +
Married Couple 20-30
Married Couple 31-40
Married Couple 41-50
Married Couple 51-60
Married Couple 61+
With ______ Children
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0
1
2
3
4
5
5+
Seeking to Live With:
Please write in below. If you are interested in living with more than one person (two single females), for example, of if you are open to living with multiple different kinds of family units, please answer here: Single Female 20-27 Single Female 28-35 Single Female 36-43 Single Female 44-51 Single Female 52-60 Single Female 61-70 Single Female 70 + Single Male 20-27 Single Male 28-35 Single Male 36-43 Single Male 44-51 Single Male 52-60 Single Male 61-70 Single Male 70 + Married Couple 20-30 Married Couple 31-40 Married Couple 41-50 Married Couple 51-60 Married Couple 61+
With ______ Children
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0
1
2
3
4
5
5+
Looking to add to my community starting (if not a specific date can list anytime or ASAP)
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For how long? Minimum is 3 months
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Accomodation
Location: What's your address?
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What do you plan to charge for the space?
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Are you able to offer any additional storage space to your guest beyond their room?
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Yes
No
If Yes, Please describe the space, including dimensions and examples of what kinds of items could fit in this space.
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Living Style
On a scale of 1 to 10, how important is cleanliness to you?
1 is not important, 10 is incredibly important
1
2
3
4
5
6
7
8
9
10
Do you have a pet?
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Yes
No
If yes, what kind?
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N/A
Small Dog
Medium Size Dog
Large Dog
Cat
Reptile
Other
Are you okay with your guest having a pet?
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Yes
No
Would like to meet the pet first
If yes, what kind?
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N/A
Small Dog
Medium Size Dog
Large Dog
Cat
Reptile
Other
Are you okay with your guest having additional overnight guests? If so, how many?
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No
1
2
3
4
5
If yes, how often are you okay with your guest having overnight guests on a monthly basis?
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N/A
1 time a month
2-4 times a month
5-10 times a month
As often as they'd like
Do you expect to have overnight guests? If so, how many?
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no
1
2
3
4
5
If yes, how often do you expect to have overnight guests on a monthly basis?
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N/A
1 time a month
2-4 times a month
5-10 times a month
More than 10 times a month
Safety
Would you require a background check for your guests?
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Yes
No
Are you okay with providing a background check to your guest?
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Yes
No
Would you require a credit check for your guests?
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Yes
No
Would you ever under any circumstance be okay with drug usage in your home?
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Yes
No
Help Us Get to Know You Better to Best Match You
What Is Your Ideal Co-Life Experience?
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Please Describe Yourself for Potential Guests. This Will Help Us Best Find a Guest For You:
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Please Describe Your Ideal Guest. Once we have options we will reach out to tell you about the different possible guests.
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What's Your Ideal Sunday?
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I am interested in Co-Life Primarily For:
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Check all that apply
Financial Benefits
Relationships
Gaining a Wider Perspective of Life
Other
If you selected "Other," for what additional reasons are you interested in Co-Life?
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How did you hear about Co-Life?
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Thank you!
