NVCFC Dietary Needs Survey
The NVC Family Camp Kitchen strives to offer delicious, organic, nourishing food for every body, and every diet. To do this we need some information about your specific dietary needs. Please take a moment to fill out this short survey so that we may know how best to serve you and your family in the kitchen.
I am/We are
Vegetarian. (Eat no meat but enjoy eggs and dairy)
Vegan. (Eat no meat and no animal by-products)
Omnivore. (Eat meat and dairy and animal by-products)
Pescatarian. (Eat mostly vegetarian but also consume fish)
Paleo. (Eat meats, nuts, seeds, vegetables and some fruits but no dairy, legumes, potatos or sugar)
Myself
Spouse/partner/parent
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
I/We avoid eating the following
Sugar
Legumes
Soy
Gluten/wheat
Dairy
Eggs
Nightshades
Grains
Me
Spouse/partner/parent
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
Other foods I/We avoid eating are...
Your answer
Someone in my family has a serious food allergy *
If you answered Yes. What foods are you or your family member allergic to? How serious is the reaction? *
Your answer
I understand that I/my family will be eating from a kitchen that prepares foods with peanuts, tree nuts, gluten, dairy and all sorts of foods that may cause allergic reactions in some people. I have outlined my/our allergies above so that the folks cooking my meal can accommodate my/our dietary needs to the best of their ability. I/we travel with any medications, (like an epi pen) I/we may need, just in case. *
Other information concerning my diet that I would like anyone cooking for me to know... (If you have a number of dietary restrictions, please let us know what foods you love and would appreciate having available at all meals)
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service