Ready to Serve

Food Preferences and Eating Habits

Client Name:

Address:

Phone Number:

Email:

Number of people in family

Kitchen style

Type of equipment

Items needed to purchase for service (if any)

2^nd refrigerator avaialble: yes/no

Storage for food containers:  yes/no

Container use Pyrex or Plastic

Store preferences &

Location of:    

Food Allergies  

Preferences

Types of food

Favorites

Dislikes

Health concerns/

Goals

In Depth Evaluation:

The following list is a breakdown of different foods. 

Give each item a rating on a scale of 1-10, 10 being the highest.  With this information I am able to get a better understanding of meals to prepare for your highest level of satisfaction.

MEATS:

            __  Beef (steak/roasts/ground round)

            __  Pork (chops/roasts/ribs/bacon/ham/ground)

            __  Veal (stew/ground/scallops)

            __  Lamb (chops/stew/ground/roasts)

           Comments:_____________________________________________________________________

POULTRY:

            __  Chicken (breasts/thighs/ground/etc.)

            __  Turkey (breasts/smoked/ground/scalloped/etc.)

            __  Chicken or turkey meatloaf

           __  Chicken or turkey and vegetable/pasta casseroles

Comments:_____________________________________________________________________

FISH/SHELLFISH:

            __  Fish (Chilean Seabass, Yellowtail Tuna, Trout, 

                  Salmon, Flounder, Halibut, Monkfish,

                  Red Snapper)

            __  Shrimp

            __  Scallops

            __  Crab Meat

            __  Lobster

Comments:_____________________________________________________________________

SALADS:

            __  Romaine, red leaf etc...

            __  Fruit

            __  Rice

            __  Pasta

Comments:_____________________________________________________________________

SOUPS:

            __  Cream

            __  Chunky

            __  With meat/poultry/seafood/vegetable

            __  Soups as a main dish

Comments______________________________________________________________________

VEGETABLES:

            __  Seasonal Produce: Corn, squash, zucchini, 

                  tomatoes, asparagus, string beans, brussels 

                  sprouts, onions, sugar snap peas, peppers, 

                  mushrooms,

             __  Melons & other fruits in season (peaches, 

                   nectarines,  pears, berries etc..)

Comments:_____________________________________________________________________

GRAINS:

            __  Rice

            __  Couscous

            __  Quinoa

            __  Wheat/granola

            __  Corn

            __  Other (identify)

Comments:_____________________________________________________________________

BREADS:

            __  Wheat

            __  White

            __  Rolls

            __  Biscuits

            __  Cornbread

            __  Muffins

            __  Tortillas

Comments:_____________________________________________________________________

SEASONINGS:

            __  Dried oregano, sage, rosemary, tarragon, fennel, cumin, cilantro, paprika, parsley, celery, chili powder

            __  Fresh garlic, parsley, thyme, rosemary, sage

            __  Pepper

            __  Salt

Comments:_____________________________________________________________________

FATS/OILS:

            __  Butter

            __  Margarine

            __  Canola Oil

            __  Corn Oil

            __  Olive Oil

            __  Vegetable Oil

            __  Sunflower Oil

            __  Lard

            __  Shortening

Comments:_____________________________________________________________________

MILK AND DAIRY:

            __  Cheeses (parmesan, cheddar, swiss, muenster,

                  mozarella etc.)

            __  Milk

            __  Sour cream

            __  Half and half

            __  Creme Fraiche

Comments:_____________________________________________________________________

EGGS:

            __  Whole

            __  Yolks only

            __  Whites only

            __  Eggbeaters substitute

Comments:_____________________________________________________________________

OTHER:

            __  Tofu

            __  Soy-based meatless products

            __  Nuts (pecans, peanuts, walnuts, almonds,

                  pinenuts ).

Comments:_____________________________________________________________________

List any vegetables or fruits you do not care for in your mnu planning:  _____________________________________

__________________________________________________________

allergies________________________________________________________

Rate your preference for spicy foods in your weekly selections on a scale of 1 -10, 10 being the hottest: ___