Food Questionnaire
Thank you for taking the time to tell us more about your dietary needs!
Client name(s) *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
How would you like us to contact you? *
Required
Address where food will be delivered: *
Your answer
How many people would you like meals prepared for? *
Your answer
How many nights worth of meals would you like prepared? (our minimum is three)
How did you learn about The Wildflower Chef? *
Please list food allergies and/or sensitivities. Provide us with as much detail as possible. Please note that all meals are produced in a shared facility that processes all major allergens. *
Your answer
For the following categories, please check the items that you WOULD eat.
You may add any additional notes or details below each category.
SALADS *
Required
Tell us what kinds of dressings you enjoy. Any other notes about salads? *
Your answer
SOUPS: *
Required
Additional notes about SOUPS
Your answer
Which VEGETABLES do you enjoy most?
Your answer
Any VEGETABLES you won't eat?
Your answer
GRAINS: *
Required
Additional notes about GRAINS
Your answer
BREADS: *
Required
Additional notes about BREADS
Your answer
What SEASONINGS (spices, herbs, flavorings) do you enjoy? (for example: lemon, thyme, soy sauce, etc.)
Your answer
Any SEASONINGS you will not eat? (for example: raw onion, cilantro, curry, olives, capers, etc.) *
Your answer
FATS/OILS: *
Required
Additional notes about FATS/OILS
Your answer
What FRUITS do you like? *
Your answer
Are there any FRUITS you will not eat?
Your answer
MILK and MILK PRODUCTS: *
Required
Additional notes about DAIRY PRODUCTS
Your answer
FISH/SHELLFISH *
Required
Additional notes about FISH/SHELLFISH
Your answer
MEAT
Additional notes about MEAT
Your answer
MEAT SUBSTITUTES
Additional notes about MEAT SUBSTITUTES
Your answer
POULTRY *
Required
Additional notes about POULTRY
Your answer
Do you favor a certain international cuisine? *
Required
Notes about international cuisines
Your answer
How will you reheat your meals? *
Required
How much time are you willing to spend reheating your food? *
Required
Any other notes about handling/reheating your food?
Your answer
Would you ever like ready-to-eat, healthy breakfasts prepared for you? *
Required
Would you ever like ready-to-eat, healthy lunches prepared for you? *
Required
Please share anything else that you think we should know.
Your answer
Thank you for filling out this questionnaire!
We will be in touch within 48 hours.
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