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Skratchmade Food Questionnaire
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* Indicates required question
Email
*
Your email
Client Name
Your answer
Home Address
Your answer
Phone number
Your answer
Parking instructions
Your answer
Preferred method of contact
Email
Phone
Text
Clear selection
What date would you like to start service
MM
/
DD
/
YYYY
How many people will be eating?
Your answer
What type of service are you looking for?
Dinner Prep
Dinner and Lunch Prep
Dinner and Snack Prep
Breakfast, Lunch, and Dinner
Other
Other:
Clear selection
How many meals per service?
3x3 - 3 meals, 3 portions
3x4 - 3 meals, 4 portions
4x3 - 4 meals, 3 portions
4x4 - 4 meals, 4 portions
other - please specify below
Clear selection
Would you like Family Style or Individually portioned
Family Style - proteins together, grains together, vegetables together
Individual Portion - protein, grain, and vegetable together
Clear selection
Are you looking for a specific diet?
Gluten Free
Dairy Free
Vegetarian
Vegan
Kosher
Keto
Classic Healthy
Other:
Clear selection
What kind of chicken do you like?
All chicken
Bonless, skinless breast
Bone in, skin on breast
Dark meat - drums, thighs
Ground
No chicken
Clear selection
What kind of Turkey do you like?
All turkey
Ground
Bacon
No turkey
White Meat
Dark Meat
What kind of Beef do you like?
All beef
Steak: Tenderloin, NY Strip, Flank, Skirt, Ribeye
Ground beef
Stew, short ribs
No beef
Bison (Buffalo)
What kind of Pork do you like?
All Pork
Loin, Rib, Chop, Filet
Ground
Bacon, prosciutto, pancetta
No pork
Lamb?
Rib chops/ rack
Ground lamb
No lamb
Sausage?
Chicken
Turkey
Pork
No Sausage
Fish?
All Fish
Salmon
Tilapia
Cod
Sea Bass
Halibut
Tuna
Sole
Swordfish
No fish
Do you like Shellfish?
Shrimp
Scallops
Crab
Lobster
Clams
No Shellfish
Other:
Soups?
Creamy
Vegetable
Legumes
Broth based
With noodles
No soups please
Would you like to see fruit used in a dish (apple pecan chutney, pineapple chicken)
Yes
No
Clear selection
Grains and Potatoes ?
all of them
no grains / potatoes
white rice
brown rice
quinoa
regular pasta
white potato
sweet potato
red potato
gluten free noodles ( soba, pad tha, pastai)
farro
barley
Legumes?
All of them
black beans
cannelloni/ white beans
garbanzo/ chickpeas
red kidney beans
lentils
no beans/ lentils
Herbs: select all you DO like
I like all of them
no herbs please
cilantro
parsley
basil
dill
rosemary
tarragon
oregano/ majoram
thyme
sage
oregano
Spices: select all you DO like
I like all of them
no spices please
paprika
cumin
corriander
mild yellow curry
spicy cayanne, chipotle, red pepper flakes
tumeric
cinnamon
ginger
Do you like spice?
no
mild
medium spicy
very spicy
Clear selection
Dairy: select the products you DO like
Dairy free please
all dairy is ok
milk
butter
yogurt
cream cheese
sour cream
fresh cheeses (ricotta, mozzarella)
aged cheeses (cheddar, parm)
Non Dairy: select the products you DO like
No non- dairy
all of them
soy milk
almond milk
coconut milk
oat milk
butter alternatives
nut "cheeses" ( almond/ cashew ricotta, etc)
Are eggs OK to use in cooking?
Yes
No
Clear selection
Protein alternatives - would you like to see these in a dish?
No protein alternatives please
all are good
imitation meat (beyond meat, etc)
tofu
tempeh
seitan
Clear selection
Nuts and Seeds - would you like to see them in a dish?
Yes
No
Clear selection
Nuts and Seeds - select all you DO like
I like all of them
none of these please
almonds
cashews
pine nuts
pecans
macadamia nuts
pepitas/ pumpkin seeds
walnuts
sunflower seeds
chia seeds
nut butters
Is wine OK to use in cooking? (alcohol cooks out)
Yes
No
Clear selection
International cuisines you love:
very open, love all cuisines
italian
mexican/ southwestern/ latin
greek/ mediterranean
chinese
japanese
indian
thai
middle eastern/ persian
Clear selection
Do you like condiments?
None of these
All are good
capers
spicy jalapenos
artichoke hearts
pickles/ relish
olives
I'm open to trying new ones
Other:
Clear selection
Any food allergies or sensitivities?
Your answer
List any foods you dislike (cilantro, mustard, etc)
Your answer
Specific health goals/ concerns (weight-loss, gluten free, etc)
Your answer
How would you like your meals packaged?
individually (protein, veg and starch in one)
family- style ( everything in separate containers)
Clear selection
Do you prefer plastic or glass containers? (ordered for your first cook day)
Plastic (reusable, dishwasher, microwave safe)
Glass ( reusable, oven, dishwasher. microwave safe)
Already own a full set (about 20)
Clear selection
What Grocery Store do you prefer?
I'm OK with chef's choice
Whole foods
vons
pavilions
sprouts
ralphs
trader joes
gelson's
Other:
Ingredient preference:
100% organic, if not available then substitute
mostly organic, some conventional OK
a mix of organic and conventional
conventional
Clear selection
Select the equipment you DO have
I own all of these (full kitchen)
saute pans (medium and large)
larger pot ( for stews, pastas)
smaller medium pot (for rice and sauces)
sheet/ baking pans
muffin pan
blender, vitamix or ninja
food processor
I do not have any pots/ pans
Do you have a cutting board?
Yes
No
Clear selection
Do you have mixing bowls?
Yes
No
Clear selection
Select the items you DO have
plastic wrap
parchment paper
ziploc bags
tin foil
dish soap
clean towels
none of the above
Check if you have the following
salt and pepper
olive oil
coconut oil
sesme oil
canola oil
balsamic vinegar
red wine vinegar
white distilled vinegar
apple cider vinegar
basic dried herbs (oregano, basil)
basic dried spices (cumin, paprika)
Anything else you'd like to note?
Your answer
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