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PERSONAL CHEF SERVICES: QUESTIONNAIRE

If you are interested in scheduling a complimentary consultation to learn more about our services, we'll need a little information to help us determine your needs.

You may select multiple options in the drop down boxes by holding the 'Control' button while clicking on various choices.

As soon as we receive this questionnaire, we will contact you to schedule the consultation.

This questionnaire is for personal chef services only. If you are interested in one of our other services, please contact us, call or email.

 

   
Name:  
Address:  
City:     Zip:
Email:  
Daytime Phone:       Evening Phone:   
   
Food preferences:
are you on a specialized diet?
How did you hear about us?
What best describes
your eating habits?



List foods you don't
ever want to see:
Comments regarding
food preferences:
List any known allergies:
Very Important
Rate your spicy food
preferences:
Would you like
foods prepared for grilling?
 
Ethnic foods you enjoy:
Nuts preferences:
Do you like
beans and grains?
Do you like cheese?
Favorite cookie:
Favorite dessert:
Favorite salad dressing:
Favorite salad:
Favorite vegetable:
If married, when
is your anniversary?
Family members
(names/birthdays):
Additional comments: