|
|
Last Name
|
|
|
First Name
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Address
|
|
|
|
|
|
|
|
City
|
|
|
|
State
|
|
|
|
|
Zip
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
E-mail Address
|
|
|
|
|
|
|
|
|
|
|
Phone
|
|
|
|
|
|
|
|
|
|
How many people would you like meals prepared for?
|
|
|
|
|
|
|
Does anyone have special diet needs:? If yes, what needs?
|
|
|
|
|
|
|
|
|
|
|
Do you want any vegetarian meals? If yes, how many per week?
|
|
|
|
|
|
|
|
|
|
Do all meals need to contain meat?
|
|
|
|
|
|
|
|
|
|
How many times a week do you like to have Pasta?
|
|
|
|
|
|
|
Are there any foods your family doesn't like?
|
|
|
|
|
|
|
|
Do you like grill ready foods? If yes, how many per week would you like?
|
|
|
|
|
|
|
|
|
|
Are there types of food that you like over others when ordering meat? Such as, when ordering steak do you like T-Bone over Sirloin or Salmon over Cod Fish or Pink Shrimp or White Shrimp and so on. If it doesn't matter then leave blank.
|
|
|
|
|
|
|
|
Would you rather have your meals made with ground chuck, ground sirloin, ground chicken, ground turkey, ground sausage, anything else or a mixture of two?
|
|
|
|
|
|
|
|
|
|
ARE THERE ANY FOODS YOU HAVE ALLERGIES TO?
|
|
|
|
|
|
|
|
|
|
|
What are some of the families favorite dishes?
|
|
|
|
|
|
|
Are there any of these types of foods that you don't like? Mexican, Japanese, Chinese, Curry, Couscous, Italian, Pasta, Spicy, Soups, Beans or any other types?
|
|
|
|
|
|
|
|
|
|
Does anyone in the family want a special diet such as low salt, low fat, Weight Watchers, South Beach, Diabetic or any other diets?
|
|
|
|
|
|
|
|
|
|
Would you like any meals to be suitable for Kids Sleep over? If yes, how many per week?
|
|
|
|
|
|
|
|
|
|
|
Do you own a Crock Pot?
|
|
|
|
|
|
|
How often do you want your cook dates? What type of cook date do you want? CLICK TO SEE INFO ABOUT COOK DATE... COOK DATE
|
|
|
|
|
|
|
|
Is there anything else you want me to know about what you like or dislike?
|
|
|
|
|
|
|
|
Do you have any questions or request?
|
|
|
|
How did you hear about us?
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
We usually plan your meals each week. Do you want to approve you meals each week?
|
|
|
|
|
|
|
|
|
|
Do you want to plan your meals each week and email to us?
|
|
|
|
|
|
|
|
|
|
|
|
|