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Gourmet To You Food Questionnaire
(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
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This site was last updated 12/13/07