Client Profile
Help me get to know you & your family!
Name *
Your answer
Preferred Phone # *
Your answer
Preferred method of contact? *
Required
Preferred email *
Your answer
Wedding Anniversary (if applicable)
Your answer
Entry Instructions (if you will not be there at time of service)
Your answer
Wi-Fi Name & Password
Your answer
Pet Names & Instructions (if applicable)
Your answer
Names & Birthdays of all Household Members *
Your answer
Service Frequency *
Number of Meals per Service
Number of Servings (per meal)
Meal Packaging
Describe your dietary goals/concerns:
Your answer
Nutritionist or physician you would like for me to contact regarding your dietary needs:
Your answer
Food allergies or sensitivities:
Your answer
Preferred Organic:
Food Preferences
Please check the boxes of every food that is generally acceptable to you & your family.
Meats:
Comments/Exceptions to above:
Your answer
Poultry
Comments/Exceptions to above:
Your answer
Fish/Shellfish
Comments/Exceptions to above:
Your answer
Would you like salad as an entree occasionally?
Salad Dressings
Soups:
Vegetables
Fruits
Legumes
Grains
Fresh Herbs/Arromatics
Spices
Spice Level
Bland (Ketchup makes me sweat!)
Spicy (Light me up!)
Salt Level
No added salt
Double what the recipe calls for
Oils/Fats
Milk/Milk Products/Dairy Substitutes
Cheeses
Eggs
Meat Substitutes
Nuts
Ethnic Foods
May I use alcohol (wine, liquor or liqueurs) when called for in recipes?
Additional Comments/Preferences/Dislikes
Your answer
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