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Please answer the following questions as accurately as possibly.
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Do you have any medical conditions or allergies? If yes, please explain.
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Special dietary needs/requests:
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Low Sodium
Low Cholesterol
Post-Operative
Organic only
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Low Fat
High Protein
Vegetarian/non Vegan
Low Carbohydrates
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Weight Management
Low Calorie
Diabetic
Pregnancy
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Other, please explain:
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Cuisine Preference:
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American Regional
Asian / Pacific Rim
Caribbean
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Mediterranean
Mexican
Middle Eastern
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French
Italian
Latin
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Meat and Seafood Preference:
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Shrimp
Scallops
Red Snapper
Crab (crab meat)
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Beef
Chicken
Turkey
Pork
Lamb
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Salmon
Halibut
Talapia
Cod
Sea Bass
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Starch and Grains Preference:
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Wild Rice
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Rice (white)
Rice (brown)
Potatoes (red)
Potatoes (white)
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Sweet Potatoes
Plantains
Quinoa
Cous Cous
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Other, please specify
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Vegetable preferences:
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Green (green beans, spinach, asparagus, bell peppers, peas, cabbage, pea pods, snow pea, celery,
mustard greens, kale, collards, zucchini, bok choy, okra, broccoli, leeks, etc.)
Yellow (corn, squash, bell peppers)
Red/Orange/Purple (red cabbage, beets, tomatoes, bell peppers, eggplant, carrots)
White (cauliflower, parsnips, leeks, turnips)
Onions (red, vidalia, white, yellow, green, shallots)
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Other, please specify
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Pasta:
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Pasta Sauce:
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Whole Wheat
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Regular
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Red/Tomato
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Alfredo
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Beans/Legumes:
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Kidney
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Lima
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Pinto
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Black
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White
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Lentils
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Nuts:
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Pecans
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Peanuts
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Pistachios
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Walnuts
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Almonds
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Other
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Cheese:
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Blue
Cheddar
Feta
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Goat
Swiss
Asiago
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Gorgonzola
Parmesan
Other
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Salads as a meal?
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No
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Yes
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Seasonings:
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Nutmeg
Saffron
Dry Mustard
Cayenne
Soy Sauce
Teriyaki
Horseradish
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Cumin
Dill
Mint
Paprika
Parsley
Pepper
Rosemary
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Salt
Tarragon
Cardamom
Cinnamon
Ginger
Cloves
Oregano`
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Alcohol
Honey
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Garlic
Cilantro
Chili Powder
Curry
Basil
Marjoram
Thyme
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