Prepared Meals Questionnaire
Here is your opportunity to let me know what you prefer in your customized menu. Please check preferences and add comments. Place a check mark next to any foods that you don’t like and never wish to see. Email this form to us upon completetion
__ Beef (steak/roasts/ground round)
__ Pork (chops/roasts/ribs/bacon/ham/ground)
__ Veal (stew/ground/scallops)
__ Lamb (chops/stew/ground/roasts)
__ Meat and vegetable/pasta casseroles
__ Chicken (breasts/thighs/ground/etc.)
__ Turkey (breasts/smoked/ground/scalloped/etc.)
__ Chicken or turkey meatloaf
__ Chicken or turkey and vegetable/pasta casseroles
__ Fish (bass, sole, cod, trout, salmon)
__ Tuna (canned, in oil or water?)
__ Fresh Green (choice of greens/lettuces, such as Romaine, red leaf, bibb, mixture, spinach, etc.)
__ Salads as a main dish?
__ Red wine/vinegar
__ Thousand Island
__ other (identify)
__ Creamed (name type) ______________________________________
__ With meat/poultry?
__ Soups as a main dish?
__ Green (peas, green beans, spinach, asparagus, peppers, cabbage, pea pods, celery, mustard greens)
__ Yellow (corn, wax beans, squash, peppers)
__ Red (pimento, red cabbage, beets, tomatoes, peppers, sweet potatoes/yams)
__ White (cauliflower, potatoes, parsnips, water chestnuts, bean sprouts, onions, mushrooms, leeks)
__ Beans (black, ranch-style, pinto, kidney, lima, white, pink)
__ Other (identify)
__ Rolls (white or wheat, sour dough, etc.)
__ Oregano, sage, rosemary, tarragon, fennel, cumin, cilantro, paprika, parsley, celery, chili powder
__ Fresh garlic, parsley
__ Pepper—white, black or red
__ Canola Oil
__ Corn Oil
__ Olive Oil
__ Vegetable Oil
__ Sunflower Oil
MILK AND MILK PRODUCTS:
__ Cheeses (parmesan, cheddar, swiss, muenster, fontina, etc.)
__ Milk (skim, 1%, 2%, whole)
__ Cottage cheese
__ Sour cream
__ Half and half
__ Yolks only
__ Whites only
__ Eggbeaters substitute
__ Soy-based meatless products
__ Nuts (pecans, peanuts, walnuts, almonds, cashews, Brazil, etc.)
List any vegetables or fruits you don’t ever want to see
List any other food dislikes
List any known food allergies
Rate your preference for spicy foods - bland/mild/moderate/very
Do you have any favorite recipes that we can prepare for you?
Do you have a grill and want meals prepared for cooking on it?
Do you have a wok and want meals prepared for cooking in it?
International cuisine? - Mexican/Curries/Italian, etc.