• Client Assessment Form

    This form will help me understand your needs, likes, and dislikes. Please fill it out completely so I can get to know you and your palate.
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  • Do you enjoy soup as a main entree?*
  • Do you enjoy salad as a main entree?*

  • How many times per month do you enjoy the following?

  • Type of chicken
  • Do you enjoy vegetarian entrees?*
  • Do you enjoy:
  • Are you lactose intolerant*
  • Are you allergic to anything?*
  • Do you have any other food sensitivities?*

  • Are there any fruits or vegetables that you particularly like or dislike?

  • Are there other flavors or textures that you particularly dislike?*
  • May I cook with alcohol?*

  • Do you have any of the following conditions?

  • High blood pressure requiring:
  • High cholesterol requiring:
  • Are you trying to lose weight?*
  • Would you like portion control*
  • Are you on a particular diet?*

  • Do you particularly like or dislike any of the following cuisines?

  • Mexican/Latin*
  • Thai*
  • Chinese*
  • Japanese*
  • French*
  • Italian*
  • Indicate the level of spiciness you prefer:*
  • Do you want bread, rolls, or tortillas as part of your meals?*
  • Do you like salad with your entrees?*
  • Do you like cherry tomatoes?*
  • Do you have any favorite recipes you would like me to use?*
  • How would you prefer to have your meals packaged?*
  • Would you prefer semi disposable or reusables?

  • About your appliances: (If I'll be cooking at your place)

  • Stove:
  • Do all burners function?
  • Oven
  • Functioning and accurate?
  • Does your microwave work?
  • Does your garbage disposal work?
  • Do you have an additional freezer?
  • How will you most likely reheat your entrees?*
  • Should be Empty: