Food Questionnaire

Have any questions or concerns? Feel free to leave any questions you don’t know the answer to blank or give us a call. We look forward to setting up your meal delivery service that fits best with your lifestyle and dietary needs and preferences!

Name

Email Address

Address

City, State, Zip

Phone

Preferred Contact Method

Which Meal? (breakfast, lunch, dinner, dessert, snacks)

Number of days a week you/family will eat prepared meals?

Number of servings for each meal?

Individually packaged meals or family style?

Service frequency(weekly, bi-weekly, monthly)?

What food style are you interested in(traditional, clean eating, paleo/whole30, weight management, autoimmune protocol, diabetic, etc)?

What cuisines do you enjoy(Southern, French, Italian, Asian, Mediterranean, etc)?

Any food allergies?

Medical issues that affect diet?

Do you have any nutrition goals?

What are you/your family's favorite meals

Any foods dislikes?

All organic produce or organic when appropriate? Meats- organic or grass-fed organic?

Do you eat sweeteners(honey, coconut palm sugar, maple syrup, stevia, molasses)?

11 + 5 =