Name
*
First Name
Last Name
Email
*
Phone
(###)
###
####
Address
*
Number of People in Household
1
2
3
4
5
6+
Preferred Cook Day
Tell us how you would like to use this service?
How many days per week would you like to eat a chef made meal?
Would you prefer your meals packaged individually or family-style?
What type of containers would you prefer?
We can provide you with a set of uniform containers for a one-time fee
Does anyone in your household have any allergies, dietary restrictions, or sensitivities?
Are you hiring a chef to reach health/lifestyle goals?
Do you have a preference on where we shop for your ingredients?
What are your favorite foods?
What proteins do you prefer?
Please select your favorites with a checked box.
If you enjoy cheese, what kinds do you enjoy most?
(Please select your favorites with a checked box.)
If you enjoy dairy, what kinds do you enjoy most
(Please select your favorites with a checked box.)
Do you enjoy vegetarian entrees?
Yes
No
What are your favorite fruits and vegetables?
What are your least favorite fruits and vegetables?
Do you enjoy pasta?
Do you enjoy bread?
Do you enjoy salad?
Do you enjoy soup?
What level of salt do you prefer?
None
Low
Moderate
Heavy
What Level of spice (heat) would you prefer?
None
Mild
Medium
Hot
What type of oil do you prefer?
Are there any type(s) of food you strongly dislike?
Which of the following most closely describes your food style?
How will you be heating your meals?
Please describe your kitchen and its appliances
(Let us know what kind of equipment/appliances you have, and if anything is not in working order)
Is there anything else we should know about your kitchen?
Marble (heat and acid sensitive) countertops, kitchen is on second story etc.
We use "green" eco-friendly cleaning products when cleaning your kitchen after a service, do you have another preference?
Any additional comments, or anything we missed?