Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Free Range / Organics
*
I prefer to use free range and organic meats, produce and ingredients whenever possible.
Please Check All That Apply - Meats
*
Comments:
Please Check All That Apply - Poultry
*
Commens:
Please Check All That Apply - Fish / Shellfish
*
Comments:
Please Check All That Apply - Salads
*
Salads as a Main Dish
*
Other:
Comments:
Please Check All That Apply - Salad Dressings
*
Other:
Comments:
Please Check All That Apply - Soups
*
With meat or poultry?
*
Soups/stews as a main dish?
*
Comments:
Please Check All That Apply - Vegetable
*
Comments:
Please Check All That Apply - Fruits
*
Comments:
Please Check All That Apply - Grains
*
Comments:
Please Check All That Apply - Breads
*
Comments:
Please Check All That Apply - Seasonings
*
Comments:
Please Check All That Apply - Fats/Oils
*
Comments:
Please Check All That Apply - Dairy
*
Comments:
Please Check All That Apply - Eggs
*
Comments:
Tofu
*
Nuts (pecans, peanuts, walnuts, almonds, cashews, brazil, pine nuts, pumpkin seeds, etc.)
*
List any vegetables or fruits you don’t ever want to see:
List any other food dislikes not covered:
List any known food allergies or intolerances:
Rate your preference for spicy foods:
*
Do you have a barbecue and want meals prepared for it?
*
Are you interested in International cuisine?
*
If yes to International cuisine, what type?
What are some of your favorite meals now?
Do you have a preference as far as how much time you want to spend reheating?
Do you have a preference for which appliances you will use to reheat the foods?
