Making Mealtime Magic
Following is an example of the type of Food Questionnaire Chef Larry uses. This information becomes part of the client file and is referred to as he does menu planning.
Food Questionnaire
| Name: | |
| Street Address: | |
| City and Zip: | |
| E-Mail: | |
| Phone: |
FAVORITES:
| Cookie |
| Dessert |
| Soup |
| Salad Dressing |
| Salad |
| Fruits |
| Vegetables |
Restaurant(s) |
Children? Names and Birthdays: |
| Pets? Names |
| Is it okay to give occasional treats? YES NO |
Additional Comments |
(Please Check all those that apply)
1. Meatless Meals (Vegetarian): Yes No No Preference
Comments:
2.Soups - main dish? Yes No No Preference
Split-pea Black Bean Gumbo Carrot Cauliflower
Minestrone Cream Based Broths
Comments:
3. Salads - main dish? Yes No No Preference
Caesar Nicoise Greek Asian Noodle
Cobb/Chef - Chicken Breast, Shrimp or Steak Added
Comments:
4. Side dishes :
Rice Pasta Fruit Grains Vegetables Slaws Potatoes
Comments:
5. Exotics:
Venison Buffalo Game Ostrich
Comments:
6. Beef :
Sirloin Roast Ground London broil Stew
Comments:
7. Pork:
Roasts Chops Ground Ribs Bacon Ham Tenderloin
Pork Stew Sausage
Comments:
8. Veal:
Scaloppini Stew Ground Osso bucco
Comments:
9. Lamb:
Chops Stew Ground Rack
Comments:
10. Chicken:
Breasts Thighs Whole roasted Sausage With Skin Skinless
Comments:
11. Turkey:
Breasts Smoked Scaloppini Ground Legs Thighs
Sausage
Comments:
12. Fish:
Salmon Halibut Cod Trout Tuna Swordfish Sole
Red snapper Squid
Comments:
13. Shellfish:
Shrimp Scallops Clams Mussels Crab Oysters
Comments:
14. Comfort Foods:
Tuna-Noodle Casserole Pot Roast Meatloaf Mac ‘n cheese
Chicken and Dumplings
Comments:
15. Pasta/Spaghetti:
Meatballs Vegetable Red sauce Red or white clam Bolognese
Chicken Seafood Tuna sauce Alfredo
Comments:
16. Beans and Legumes:
Lentils Chili Baked Refried Soups Salads
Comments:
17. Grains:
Quinoa Bulgur Barley Couscous Basmati Variety rices Wheatberries
Comments:
18. Nuts & Seeds:
Walnuts Cashews Almonds Hazelnuts Pine Nuts Sesame Seeds
Macadamias Pumpkin Seeds Peanuts
Comments:
19. Cheeses:
Cheddar Mozzarella Parmesan Feta Bleu Ricotta Goat
Gorgonzola Cottage Monterey Jack Pepper Jack Swiss Havarti
Mascarpone Muenster Brie Smoked Cheeses
Comments:
20. Quiche:
Seafood Vegetable Lorraine
Comments:
21. List any foods you DON’T EVER want to see!
22. List any foods you LOVE:
23. List any known FOOD ALLERGIES: (Very Important!!)
24. Rate your preference for SPICY FOODS (entire household) :
Bland Mild Moderate Very
25. Preferences for Bread:
White Wheat Loaf Roll
26. Do you have any favorite recipes that we can prepare for you?
27. Do you have an outdoor grill and want meals prepared for grilling on it? YES NO
28. Ethnic foods you enjoy:
Chinese
Thai
Mexican
Indian
Cajun
Italian
Southwestern
French
29. Seasonings, Spices and Condiments:
Tarragon Thyme Sage Cilantro
Peppercorns Capers Olives
Curry Mustards
30. Soy Products and Meat Substitutes:
Tofu Tempeh Textured Vegetable Protein Seitan
31. Our food style is: (Check all that apply)
Gourmet
Home-style
Low Fat/Heart Healthy
Combination: We like some from each category
Vegetarian
Vegetarian Combination: We like some vegetarian and some with meat
32. Special dietary needs: (be specific Atkins, Southbeach, Lowfat, Heart Healthy)
We prefer to try a variety of different meal types
We prefer to find our favorites and have many repeats