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Home
Who We Are
About Us
Governance
Media
Our Board
Our Team
Join Our Board
Join Our Team
What is Home Sharing?
Be A Provider
New Home Sharing Provider Info
Respite Providers
Complete the “Be a Provider Form”
Home Sharing Opportunities
Find Local Agencies
Our Services
What We Do
Home Sharing & Respite Providers
Families & Individuals
Community Living Agencies
Resources
What’s On?
News
Events
HSP Awards
HSP Awards
Walk in My Shoes Sign Up
HSP Awards Recipients
X
Contact Us
Daily Life & Routines
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First Name. Last Name
*
Email
*
1. Daily Life & Routines
Do you work outside the home, work from home, study, volunteer, or are you retired?
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Do you prefer a structured daily routine or a more flexible schedule?
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What does a typical weekday look like for you?
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How do you usually spend your weekends?
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Do other First
Do you have pets ? ( if yes please list)
Are you comfortable with pets
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Yes
No
2. Hobbies, Interests & Free Time
Are there regular activities or commitments that are important to you?
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What hobbies or interests do you enjoy? (Select all that apply)
Walking or hiking
Gardening
Cooking or baking
Arts and crafts
Music or dancing
Reading
Sports or fitness
Swimming
Camping or fishing
Gaming or technology
Movies or television
Shopping or visiting cafés
Community events
Volunteering
Spending time with family or friends
Travel or day trips
Other
3. Community, Social & Cultural Life
Do you regularly participate in community activities, clubs, groups, or organizations?
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Do you enjoy attending church, religious services, spiritual gatherings, or cultural events?
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Do you enjoy social gatherings, or quieter activities?
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Are there community activities you would enjoy sharing with someone living in your home?
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Would you be comfortable supporting a person from the LGBTQ Community?
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Yes
No
4. Home & Personal Preferences
Would you describe your household as generally quiet, moderately active, or busy?
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Are shared meals, family gatherings, or other household traditions important to you?
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What household routines or personal preferences would you want someone living with you to know about?
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5. What Brings You Joy?
What are the things in life that make you happiest?
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What does an ideal day off look like for you?
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What activities or experiences do you look forward to?
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What would you enjoy sharing with an individual who becomes part of your household?
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5. Is there anything else about your personality, lifestyle, or interests that would help someone get to know you?
*
Submit