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Questionnaire

Name:

Below are list of questions designed to help us create a personalized menu for you. Please fill in all the categories that apply and be sure to specify any items or ingredients that you DO NOT want used in your menu. Feel free to add further comments or information that may be helpful when designing your menu

List your favorite types of food preparation (i.e. Italian, Thai, French, Middle Eastern, etc..)

Are there any food styles that you DO NOT enjoy?

Are you an adventurous eater ? Do you like to try new foods? (Describe)

List any other food dislikes

List any known food allergies

Rate your prefernce for spicy foods (bland/mild/moderate/hot)

Do you have any favorite personal recipes that you want prepared? (Describe)

Think about the categories below and write down any foods that you DO NOT want used in the preparation of your meals:

Fruits

Vegetables

Nuts including peanuts, walnuts, cashews, sunflower seeds etc

Cheese including hard, soft, semi soft, cream, ricotta, cottage etc

Beans and Grains including lentils, kidney beans, bulgur, quinoa, couscous etc

Dairy including milk, cream, butter, sour cream, yogurt

Herbs including, coriander, mint, oregano, tarragon, hot chilies

Rice: White, Brown, Jasmine, Basmati

Flours: White, Brown, Rye

Oils: Olive, Sunflower, Peanut

Seasonings: Mustard, Honey, Vinegar

Pasta: Egg, Whole Wheat, Spaghetti

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