"Housemate Compatibility Tool Form" - Missouri

Housemate Compatibility Tool Form is a legal document that was released by the Missouri Department of Mental Health - a government authority operating within Missouri.

Form Details:

  • The latest edition currently provided by the Missouri Department of Mental Health;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Missouri Department of Mental Health.

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Download "Housemate Compatibility Tool Form" - Missouri

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Housemate Compatibility Tool
This tool shall be completed by an individual who is seeking a living situation with housemates, and potential housemates who may have
someone move in with them. The tool should be completed by the individual with support as needed from someone who knows the individual
well. The information is considered by the planning team in determining compatibility of two or more housemates.
Name _______
Date
Click here to enter a date
Things a potential housemate should know
Characteristics I like in a potential
I could not live with someone if they:
about me:
housemate:
(habits, routines, strong likes/dislikes, supports
(personality, common interests, routines,
(what I find annoying or upsetting, anything
needs that could affect a housemate’s routine,
habits, etc.)
that would make it unlikely I could live with
etc.)
another person)
A more comprehensive Housemate Survey can be found in the optional forms section of the Support Coordination Manual at:
http://dmh.mo.gov/dd/manuals/scmanual.html
Housemate Compatibility Tool
This tool shall be completed by an individual who is seeking a living situation with housemates, and potential housemates who may have
someone move in with them. The tool should be completed by the individual with support as needed from someone who knows the individual
well. The information is considered by the planning team in determining compatibility of two or more housemates.
Name _______
Date
Click here to enter a date
Things a potential housemate should know
Characteristics I like in a potential
I could not live with someone if they:
about me:
housemate:
(habits, routines, strong likes/dislikes, supports
(personality, common interests, routines,
(what I find annoying or upsetting, anything
needs that could affect a housemate’s routine,
habits, etc.)
that would make it unlikely I could live with
etc.)
another person)
A more comprehensive Housemate Survey can be found in the optional forms section of the Support Coordination Manual at:
http://dmh.mo.gov/dd/manuals/scmanual.html