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FOOD QUESTIONNAIRE

Ready to start a personal chef service? Fill out our food questionnaire to help us better understand your dietary needs and preferences.

If there’s anything on this form that you have questions about, please leave blank. These items will be discussed verbally after it’s submitted.

(303)-902-0450
janice@trueculinary.com

Client Name *

First

Last

Other Adults

Children - Names and Ages

Pets- Names and Types

Birthdays

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

How Did You Hear About True Culinary? *

Meats

Beef (steak/roasts/ground-round)
Pork (chops/roasts/ribs/bacon/ham/ground)
Lamb (chops/stew/ground/roasts)
Meatloaf
Meat and vegetable/pasta casseroles

Preference on How Steak is Cooked

Medium Rare
Medium
Medium Well

Comments

Poultry

Chicken (breasts/thighs/ground, etc.)
Turkey (breasts/smoked/ground, etc.)
Chicken or turkey meatloaf
Chicken or turkey and vegetable/pasta casseroles

Preference on Type of Chicken Meat

White
Dark
Mixed

Comments

Fish/Shellfish

Fish (salmon, bass, tuna, yellowtail, orange roughly, catfish, snapper, etc.)
Shrimp
Scallops
Crab
Lobster

Comments

Salads

Fresh Green Lettuces: Romaine, red leaf, bibb, kale, cabbage, spinach, arugula etc.
Fruit in your salad
Pasta in your salad
Salads as a main dish

Comments

Salad Dressings

Creamy Ranch, Caesar, Blue Cheese
Vinaigrette (any)
Third Choice

Comments

Soups/Stews

Creamy or Chunky (Preferred type/name)
With meat/poultry
Soups/Stews/Chili as a main dish

Comments

Vegetables

Green (peas, green beans, spinach, asparagus, peppers, cabbage, pea pods, celery, brussels sprouts, bok choy, peppers, asparagus, mustard greens/greens, broccoli, zucchini, avocadoes, okra)
Yellow (corn, wax beans, squash, butternut squash, spaghetti squash, peppers)
Red (tomatoes, red cabbage, beets, radish, peppers, sweet potatoes, carrots)
White (cauliflower, potatoes, parsnips, water chestnuts, bamboo shoots, bean sprouts, onions, mushrooms, leeks, turnips, hearts of palm)
Beans (black, pinto, kidney, lima, white, pink, black-eyed peas, split peas)
Other (capers, black olives, green olives, pickles, artichokes, anchovies, eggplant)

List Vegetables You Won't Eat

Grains

Couscous
Quinoa
Farro
Barley
Polenta

Comments

Breads

Wheat
White
Rolls (white or wheat, sour dough, etc.)
Biscuits
Cornbread
Pancakes/waffles
Tortillas (corn, white or wheat)

Comments

Seasonings

Pepper—white, black or red
Salt—Kosher
Basil, oregano, sage, rosemary, tarragon, fennel, cumin, cilantro, paprika, smoky paprika, parsley, celery, chili powder, onion powder, curry, masala, ginger

List Any Seasonings that You Won't Eat

Fresh Herbs

Parsley, cilantro, dill, basil, green onion, thyme, sage

Comments

Fats/Oils

Butter
Olive Oil and other healthy oils (sesame, walnut, coconut, avocado, truffle, rice bran)

Comments

Milk/Milk Products

Cheeses (parmesan, cheddar, Swiss, muenster, fontina, blue, feta and goat etc.)
Milk (skim, 1%, 2%, whole, cream)
Yogurt
Sour cream

List Any Cheese or Dairy You'd like to Avoid

Eggs

Whole
Whites or Yolks Only

Comments

Other

Tofu or Meat Substitutes
Dried Fruits
Nuts (pecans, peanuts, walnuts, almonds, cashews, macadamia, pine nuts, Brazil)
Seeds (sesame, sunflower, pepitas/pumpkin, flax, chia)

List Any Fruits You Dislike (If Any)

List Any Known Food Allergies/Sensitivities

May We Cook with Alcohol?

Yes
No

Spicy Foods

Bland
Mild
Moderate
Hot
Very Hot

Do You Have any Favorite Recipes We Can Prepare for You?

Favorite Cuisines (Italian, Mexican, Chinese, French, Thai, Japanese, South-West, Cajun)

Favorite Foods/Restaurants

Which Meals Would You Like Prepared?

Breakfast
Lunch
Dinner
Snacks
Dessert

Number of Days Per Week You/Your Family Will Eat Prepared Food

Number of Servings for Each Meal

Portion Sizes

Small
Regular
Larger

Portion Control

Yes
No

Type of Produce

Organic
Non-Organic

Comments/Questions

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