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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

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


 

Name:
Street Address:
City and  Zip:
E-Mail:
Phone:

        

                       

 

 

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This site was last updated 12/13/07