Please answer the following questions as accurately as possibly.
Do you have any medical conditions or allergies? If yes, please explain.
Special dietary needs/requests:
Low Sodium
Low Fat
Weight Management
Other, please explain:
Cuisine Preference:
American Regional
Mediterranean
French
Meat and Seafood Preference:
Shrimp
Beef
Salmon
Starch and Grains Preference:
Wild Rice
Rice (white) Sweet Potatoes
Other, please specify
Vegetable preferences:
Green (green beans, spinach, asparagus, bell peppers, peas, cabbage, pea pods, snow pea, celery,
Other, please specify
Pasta: Pasta Sauce:
Whole Wheat
Regular Red/Tomato
Alfredo
Beans/Legumes:
Kidney
Lima
Pinto Black White
Lentils
Nuts:
Pecans Peanuts
Pistachios
Walnuts Almonds
Other
Cheese:
Blue
Goat Gorgonzola
Salads as a meal?
No
Yes
Seasonings:
Nutmeg
Cumin Salt
Alcohol
Garlic
Hot
Medium
Mild
Bland
Spiciness:
Cooking Equipment:
Packaging, Storage & Heating:
Dual Oven Containers (plastic, can be reused)
Microwave
Other comments/suggestions:
Your name:
Your email address:
Your phone number:
Comments:
