Primal Chef Dietary Intake
The purpose of this form is to gather as much information as possible at one time to ensure appropriate meals are prepared. Please be as thorough as possible when completing this form
Your Name *
In general, what diet do you follow?
Please list ALL dietary restrictions, intolerances, and allergies *
In general, describe the way you like to eat
Describe your preferred average breakfast
Describe your preferred average lunch
Describe your preferred average dinner
Describe your preferred average snacks
Describe your preferred desserts
Are you open to trying new foods and trusting the chef to make it taste good?
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Please indicate which ingredients you WILL eat
Do you like your steaks, burgers, chops, roasts, etc cooked to
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Do you eat dairy?
Do you typically eat
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Do you like spicy food?
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Do you eat nightshade vegetables?
What are your favorite foods or ingredients?
What are your LEAST favorite foods or ingredients? Also mention if there are any foods you absolutely will NOT eat
What style of food is preferred?
What are your favorite cuisines?
We typically shop at Whole Foods. When available, do you prefer
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