Questionnaire
Are there any other flavors or items that you do not want used in your menus?
May I cook with wines and liquors?
We use an abundance of fresh herbs and a variety of spices in my recipes.
Do you dislike any of the following?
Do you dislike any of the following cuisines?
Where do your tastes fall on the spicy scale?
How do you like your steak cooked?
Tell us what your three favorite restaurants are.
Can you provide space for 20 frozen entrées in your freezer (about 2 cubic feet)?
Tell us about the kitchen where we will be working. Are all burners working? Is the oven operational? Is it gas or electric? Do you own a microwave oven?
Any other remarks or information you feel we need to know?
First Name
Last Name
Address
City
Zip
Daytime Phone
Evening Phone
E-mail Address
How did you find us?
How often would you desire our service?
Are you following any special diet plan?
Do you have any medical conditions that should be addressed when planning your menus?
Do you or any members of your family have any food allergies?
Do you or any members of your family have any food sensitivities?
How would you classify your style of eating?
How often per week do you eat the following meats?
Beef Chicken Pork Duck
Veal Lamb Turkey Fish / Seafood
Meat with regard to chicken or turkey?
Do you dislike any of the following?
Do you enjoy vegetarian food? If so, how many times per month?
Are there any fruits or vegetables that you dislike and would not want used in your entrees?
(318) 840-7410
How many days per week and how many servings?
Days?
Servings
