Thank you for helping me to best help YOU!
In an effort to offer better service, I'd love to get to know a little more about you, your family, and your eating habits so I can best assist you in the kitchen! In exchange for your time, I'd love to send you a free gift. Please use the "Other" option to leave me any specific notes, comments, or questions you have in reply to any questions below.
~Kati Hatfield
Independent Epicure Cooking Consultant
Cooking With Kati
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Email *
Best phone number *
The number above is my... *
What month is your birthday? *
Street Address (please include apt/suite number) *
City *
State *
ZIP Code *
Tell me about you - who's in your household - significant other, kids, pets? What keeps you busy during the day - work, family, hobbies? What motivates you? Whatever you'd like to share!
How would you rate your culinary skills in the kitchen?
I burn water
I'm practically Gordon Ramsay
Clear selection
What are your dinner dilemma(s)?
What proteins do you like to eat?
How spicy do you like your food?
Do you need to consider any food allergies, sensitivities, or dietary restrictions? Please feel free to include notes on diets/lifestyles you follow (keto, paleo, low-carb, diabetic, etc.)
I'm personally not a fan of peppers, cottage cheese, or olives. Any foods you just don't like?
If you eat out - dine-in/drive-thru/takeout/delivery - where do you eat and what's your favorite meal order?
Cuisines you enjoy
What kitchen tools and appliances do you have?
What types of beverages do you enjoy?
How familiar are you with Epicure? *
Required
Which of these fun facts did you already know about Epicure?
Would you like more information on the following in regards to Epicure?
How do you prefer to be contacted? I will only reach out 1-2 times per month. Select all that apply.
Are you interested in learning more about having an Epicure subscription box delivered to your door on a monthly basis? The new Epic Box offers you 7 meal packets, 1 dessert, an exclusive item (not available for sale!), and a dessert for $32/month - including FREE shipping! Grocery lists, versatile recipes, and meal plan included - view them digitally or print them out! *
Would you like more information about earning FREE, discounted, and Exclusive products by hosting a Cooking Class (in-person tasting event, virtual, or passing out catalogs... or a combination of these)? Ask about fun class themes! *
Would you like to be invited to events near you to taste Epicure foods, check out cookware products, take home available items (cash & carry), and register for prize drawings? *
Would you be interested in learning more about a business opportunity with Epicure to make extra income, get your groceries at a discount, make new friends, help others eat healthy easy delicious food... or something more?
Clear selection
Could you - or anyone you might know - be able to benefit from Epicure - either with the time-saving meal and cookware products as customer or host, or even earning extra income as a business opportunity? I give gifts for referrals and would love to share free samples and our latest catalog with them! Please list anyone's name, how you know them, and their best contact info (email, text/call, or Facebook).
If there is anyone who needs help buying gifts for you (birthday, anniversary, holidays, etc) please list their name, their relationship to you, and their best contact info (email, text/call, or Facebook) so I can share your wishlist and help them get you something you want!
Any other comments you'd like to add or questions you want to ask?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy