Food Questionnaire

Please check YES for ingredient preferences, and add comments. Mark NO for any foods that you don't like and never wish to see. If you have no preference, leave the answer blank.

Name:
Email:
Yes
No

MEATS:

Beef (steak/roasts/stew/ground)

Pork(chops/roasts/ribs/ground/cured {bacon/ham/sausage})

Veal (stew/ground)

Lamb (chops/stew/ground/roasts)

Meatloaf (beef)

Meat and vegetable/pasta casseroles
Comments:
Yes
No
 POULTRY:
Chicken (breasts/thighs/ground/etc.)
Turkey (breasts/smoked/ground/etc.)
Chicken or turkey meatloaf
Chicken or turkey and vegetable/pasta casseroles
Comments:
Yes
No
 FISH/SHELLFISH:
Fish (salmon, tilapia, sole, halibut, cod, orange roughy, catfish, snapper)
Shrimp (salad size, larger)
Scallops
Crab
Lobster
Tuna (fresh or canned in oil, canned in water)
Comments:
Yes
No
 SALADS:

Fresh Greens (romaine, red leaf, green leaf, iceberg, bibb, gourmet baby greens, spinach, etc.)

Fruit
Rice
Pasta
Salads as a main dish?
Other:
Comments:
Yes
No
 SALAD DRESSINGS:
Ranch
Vinaigrette
French
Honey Mustard
Specialty (berry vinaigrette, pesto ranch, etc.)
Thousand Island
Other:
Comments:
Yes
No
 SOUPS:
Creamed (name type preferred, if any)
Hot
Cold
Chili
Stews
With meat/poultry?
Soups/stews as a main dish?
Comments:
Yes
No
 VEGETABLES:

Green (peas, broccoli, beans, spinach, artichokes, asparagus, peppers, zucchini, chiles {mild, medium, hot}, cucumbers, cabbage, pea pods, celery, greens {collard, mustard, kale, chard}, onions
Yellow (corn, squash, peppers)
Red (cabbage, beets, tomatoes, peppers, sweet potatoes/yams, eggplant, carrot)
White (cauliflower, potatoes, water chestnuts, bean sprouts, onions, mushrooms, leeks)
Beans (black, ranch-style, pinto, kidney, lima, white, chickpea/garbanzo)
Other (olives {green, black, Kalamata}, capers, yuca root, turnips, parsnips, rutabaga, fennel root, celery root)
Comments:
Yes
No
 FRUITS:
Citrus (orange, lemon, lime, grapefruit, tangerine)
Melons (cantaloupe, honeydew, casaba, watermelon)
Tropical (mango, papaya, pineapple, coconut)
Berries (strawberries, raspberries, blueberries, marionberries, blackberries)
Other (peaches, pears, nectarines, cherries, grapes, avocado, apples)
Comments:
Yes
No
 GRAINS:
Rice
Couscous
Corn (Polenta/Grits)
Wheat
Other GF Grains (teff, amaranth, millet, quinoa)
Barley, Rye, Oats, Spelt
Comments:
Yes
No
 BREADS :
Cracked Wheat/Whole Wheat
White
Rolls (white or wheat, sourdough, etc.)
Biscuits
Cornbread (sweet, savory)
Muffins/Quickbreads (zucchini, banana, apple, etc.)
Tortillas (corn or flour)
Comments:
Yes
No
 SEASONINGS:
Oregano, sage, rosemary, tarragon, fennel, cumin, paprika, parsley, celery seed, chili powder, thyme
Fresh garlic, parsley, cilantro, basil, rosemary, dill, mint , lemongrass, thyme and sage
Pepper—white, black, green or red
Salt—regular or kosher
Comments:
Yes
No
 FATS/OILS:
Butter
Margarine
Canola Oil
Corn Oil
Olive Oil
Sesame Oil/Chili Oil (Flavored Oils)
Peanut Oil
Comments:
Yes
No
 DAIRY PRODUCTS:
Cheeses (Parmesan, Mozzarella, Cheddar, Swiss, Fontina, Provolone, Blue, Havarti, others)
Cream Cheese (regular, light)
Milk (skim, 1%, 2%, whole, soy)
Cottage cheese
Yogurt
Sour cream (regular, light)
Half and half
Mayonnaise (regular, light)
Comments:
Yes
No
 EGGS:
Whole
Yolks only
Whites only
Eggbeaters substitute
Comments:
Yes
No
 OTHER:
Tofu

Nuts (pecans, peanuts, walnuts, almonds, cashews, brazil, pine nuts, pumpkin seeds, etc.)

Comments:
ADDITIONAL INFO:
List any vegetables or fruits you don’t ever want to see:

List any other food dislikes not covered:

List any known food allergies:

Rate your preference for spicy foods : (bland/mild/moderate/very)
Do you have a barbecue and want meals prepared for it?
Are you interested in International cuisine?

What are some of your favorite meals now?

Do you have a preference as far as how much time you want to spend reheating?

Do you have a preference for which appliances you will use to reheat the foods?

 
 
 

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