Food Questionnaire

New Client Questionnaire

Thank you for taking the time to complete this form as thoroughly as possible. Your chef values this information to customize delicious menu ideas for your weekday dinners.

Today’s Date

Name(s)

Address

Where should the chef park?

Home Access

What is Entry Code? (we’ll keep this confidential)

Phone (1)

Phone (2)

Email (1)

Email (2)

Birthday(s) and Anniversary (we love to celebrate)

Child(ren) Name(s) & Age(s)

Pet(s) Name(s)

What do you want to accomplish by having a personal chef?

What are your expectations of your chef?

Have you consulted with a dietitian or completed any food sensitivity testing?

Which of our additional services might be of interest to you?

Kitchen Organization

Home Entertaining

Cooking Classes

Eats Amore Meal Delivery

How many meals per week will be most helpful for you?

How would you like your meals stored?

Family-Style

Individual Portions

Any custom requests for other types of meals? (i.e. breakfast, snacks, dessert)

Check your preferred time of day

Morning (arrival 9-10am)

Afternoon (arrival 1-2pm)

What is your ideal start date/week?

Do you have any upcoming travel plans where service is not needed for a particular week?

Where do you grocery shop?

Grocery preferences

Non-Organic

100% Organic

Organic only for meats, seafood, & dairy

Organic only for specific fruits/vegetables (i.e. Dirty Dozen/Clean Fifteen List)

Other

Provide details on preferences

What are your favorite cuisines/foods?

What cuisines do you dislike?

What is your spice tolerance? (We prepare no-low spice for children unless otherwise indicated)

No Spice

Mild

Medium

Hot

Provide details on your spice tolerance

Please describe in detail any food sensitivities/allergies and for which household member. In the next section, you can identify ingredients you don’t like as opposed to what is an actual sensitivity.

Do you prefer big bold flavors, spicy, mild, other?

Upload a File (i.e. Food Sensitivity Test Results)

Choose File

Vegetables

	Yes	No
Asparagus
Arugula
Spinach
Kale
Collard Greens
Chard
Bok Choy
Cabbage
Brussels Sprouts
Broccoli
Cauliflower
Celery
Green Beans
Snap/Snow Peas
Zucchini
Yellow Squash
Cucumber
Okra
Green Bell Pepper
Red/Orange/Yellow Bell Pepper
Chili Pepper (i.e. Jalapeno, Serrano, Habanero)
Carrot
Parsnip
Corn
Acorn Squash
Butternut Squash
Spaghetti Squash
Pumpkin
White Potato
Sweet Potato
Beets
Onion
Leek
Artichoke
Mushroom
Eggplant

**After you click Submit, you should receive a Success notice at the top of your screen. If not, please try again. Your original data will remain in the form fields so you can scroll through the form pages again to Submit.

	Yes	No
Beef
Pork
Bacon
Lamb
Bison
Chicken
Turkey
Eggs
Salmon
Halibut
Cod
Shrimp
Scallops
Crab
Lobster
Tofu
Tempeh
Edamame
Beans
Lentils
Nuts
Seeds

	Yes	No
Cow Dairy
Goat Dairy
Sheep Dairy
Almond Non-Dairy
Coconut Non-Dairy
Cashew Non-Dairy
Soy Non-Dairy
Rice Non-Dairy
Oat Non-Dairy
Hemp Non-Dairy

	Yes	No
White Pasta
Whole Wheat Pasta
Gluten-Free Pasta
Rice Noodles
Quinoa
White Rice
Brown Rice
Wild Rice
Barley
Farro
Couscous
Oats

	Yes	No
Strawberries
Raspberries
Blackberries
Blueberries
Cranberry
Orange
Lemon
Lime
Pineapple
Grapefruit
Peach
Nectarine
Apricot
Plum
Cherry
Olives
Apple
Pear
Mango
Banana
Cantaloupe
Honeydew
Watermelon

Give us a call: 206-930-8686

Call or Text: 206-930-8686

New Client Questionnaire

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206-930-8686

1752 NW Market St #4601

Seattle, WA 98107

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