Meal Services Questionnaire Go backYour message has been sent Here is your opportunity to let me know what you need and prefer in order to help me customize your menu. Please check your favorites and add comments as needed. Name(required) Warning Email(required) Warning Phone(required) Warning I live in (town):(required) Warning I follow a special diet: Paleo/KETO Vegan/Vegetarian (lacto/ovo/pescatarian) FODMAP Low Salt Gluten Free Heart Healthy Weight Gain/Loss Dairy Free Warning Comments: Warning MEATS: Beef (steak/filet/ground/grass fed) Bison Pork (chops/loin/ribs/bacon/ham/ground) Lamb Warning Comments: Warning POULTRY: Chicken (breasts/thighs/ground/sausage) Turkey (breasts/ground/sausage/smoked) Duck/Cornish Hens Warning Comments: Warning FISH/SHELLFISH: Fish (cod/haddock/swordfish/tilapia/salmon/whitefish/smoked) Shrimp/Scallops/Clams Crabmeat/Lobster Fish Cakes/Stews Warning Comments: Warning SALADS: Fresh Green (choice of mixed greens, romaine, spinach, iceberg) Dressing (vinaigrettes, creamy, blue cheese, Caesar, ranch, other) With fruit, nuts, seeds Fruit Salad/Grain Salad/Bean Salad Warning Comments: Warning SOUPS: Hot/Cold Chowders/Brothy/Hearty Bean/Lentil soups Stew/Chili Warning Comments: Warning VEGETABLES: Asparagus/celery/green beans/peas/carrots/squash(spaghetti summer/butternut)/zucchini/eggplant/corn/tomatoes Artichokes/celery root/turnips/kholrabi/parsnips/beets Scallions/leeks/onions/shallots/mushrooms/fennel Cabbage/brussel sprouts/cauliflower/broccoli/peppers Spinach/kale/swiss chard/greens Beans (black, pinto, kidney, lima, white, chickpea, pink, baked, black-eyed peas, lentils, edamame) Water chestnuts/bean sprouts/pea pods Potatoes (white, sweet, roasted, mashed, twice baked) Warning Comments: Warning FRUITS: Dried (figs, raisins, craisins, apricots, dates, prunes, coconut, goji) Fresh/Cooked (apples, peaches, apricots, pineapple, plantains, fig) Warning Comments: Warning GRAINS/PASTA: Rice (white, brown, wild, basmati, exotic, risotto, pilaf) Pasta (white/whole wheat/ lasagna/shapes/strands/orzo/gnocchi/couscous) Grains (quinoa/bulgur/millet/wheat berries/sorghum/barley/teff/amaranth) Polenta/Grits Warning Comments: Warning SEASONINGS: Oregano/sage/rosemary/tarragon/fennel/cumin/dill/thyme/basil/paprika/chili powder/smoked flavors/mint/lavender/caraway/juniper/sumac Cinnamon/nutmeg/allspice/ginger/cloves/star anise/cardamom Indian curry powder/Thai curry paste/ wasabi/mustard/citrus/horseradish Fresh garlic/parsley/cilantro/ginger/lemongrass Pepper (white, black or red (hot)) Olives/capers/anchovies Salt & Pepper Warning Comments: Warning FATS/OILS: Butter Olive oil/Avocado oil/Coconut oil Sesame oil Warning Comments: Warning MILK & DAIRY PRODUCTS (used in dishes): Cheeses (parmesan, cheddar, swiss, fontina, pepper jack, smoked, blue, goat, feta, brie, provolone, vegan) Milk/half and half/cream/plant based Cottage cheese/ricotta cheese/cream cheese Yogurt/sour cream Eggs (whole, whites only, vegan) Warning Comments: Warning OTHER (please note any favorite brands): Tofu/Soy-based meatless products (tempeh, crumbles, seitan, soy chorizo) Nuts (pecans, peanuts, walnuts, almonds, cashews, pistachio, Brazil) Bone Broths in place of regular broth Warning Comments: Warning List any foods you really love Warning List any known food allergies Warning Do you like International cuisine? Mexican/Indian/Italian/Thai/Greek/African/ Persian/So American/ European/other Warning Rate your preference for spicy foods – bland/mild/moderate/very spicy Warning How you like your meals packaged – family style, 2 servings per package, individually. Will you be heating using microwave, oven, cooktop? Warning Is there anything else I should know about you regarding food and its preparation? Warning Warning. SUBMITSubmitting form Δ