SMALL POTATOES PERSONAL CHEF SERVICE

FOOD QUESTIONNAIRE 

CLIENT/SPOUSES NAMES:

TOTAL NUMBER IN HOUSEHOLD:

TODAY’S DATE:

ADDRESS:

CITY/STATE/ZIP:

PHONE NUMBER(S):

EMAIL ADDRESS:

How did you find out about my services? (referral, my website, google search, etc.)

Please fill this in, Save as another file, and send it to my email. This form will help me better understand how I can best serve you and your family. You can print and fill out as well. Thanks, Gene

Will the door be unlocked/is there a key/a security code to get? It is important after menu planning and grocery shopping that I am able to get into your house on the scheduled cook date. Some clients want to be there the whole time, others run errands or go to work. As long as I can access the kitchen and cook!

Will someone be home during the times I will be cooking? 

Do you have children? How many children?

HOUSEHOLD AGE(S):NAME(S):BIRTHDAY(S):

ANNIVERSARY (if applicable): 

Do you have any pets? How many? Are they friendly? Special instructions? (i.e. don’t go near the snake, bird)

Where should I park my car to unpack and repack my vehicle?

 Please list any food allergies here: 

What grocery stores do you use? Do you have a preference for where I shop for the groceries?                 

Who makes dinner/heats up/picks up dinner most nights?

How many times do you eat out per week?

What do you eat often at home/for lunch/for dinner that we don’t want to be redundant by making?

What things do you hope to accomplish out of the service, what’s most important in the process? 

(e.g. That the kids eat well?/ More time to do other stuff!/Happily fed family?/ Weight loss?/other?)

What times do you eat dinner between each night? Depend on work schedule?

What type of salads do you like, and what type of ingredients are in them?

Who likes what olives in the house(black/green/kalamata)?

Let’s really talk about each of the meats. Does everyone in the family like all the meats, and what is a favorite way to eat some of them? Are you like my family in that you would eat bacon on about anything?

Let’s really talk about each of the vegetables. Does everyone in the family like all the vegetables, and what is a favorite way to eat some of them? Are onions liked? Any Veggies you can put in about anything and have everyone eat? Salad dressing favorites? Like to use your own?

Cheeses? I can eat goat cheese or feta cheese on everything! Maybe it’s cheddar cheese, parmesan cheese, pepper jack or another one. What’s the house favorites on cheese? Any cheese dislikes? 

What will the kids eat?

Favorite casual and/or upscale restaurant places and items?

How does dinner go most nights: insist the kids eat with you at the table or eat on couch, just depends?

How do you like your meat cooked? For instance, on prime rib or beef filet (rare, med rare, med, med well, well)

Anything favorites from your childhood and beyond that I can make for you at some point?

Any specific items from the suggested menu list on the website you would like? 

List any vegetables or fruits you don’t ever want to see:           

Meats/Seafood you don’t want to see?

List any meals/foods other members of family dislike:

List any other food dislikes not covered:

Was there anything not listed that you would love to have? Family or personal favorites?

Do you have a preference for which appliances you will use to reheat the foods? 

What ethnic foods do you like? (Thai/Cajun/Mexican/ Italian/ Asian/South American/ Indian/ Middle Eastern/ etc).

Do you in an average week purchase local or organic food at the grocery store?

If there are soups, stews, casseroles etcetera you typically like list them here:

Bold or Circle if you really like one these ingredients in general. Put in (paranthesis) if you really dislike this ingredient in general.

POULTRY: Chicken (white meat/dark meat/smoked/ground/thighs) Turkey (white meat/dark meat/smoked/ground/sausage/thighs) 

PORK: (tenderloin/loin/roasts/ground/ham/bacon/sausage/ribs) 

FISH/SHELLFISH: Fish (Salmon/Red Snapper/Grouper/Tilapia/MahiMahi/Catfish/Trout/Cod) Shrimp, Scallops, Crab 

BEEF: (Brisket/TriTip/Flank/Filet/Ground/Chuck/Sausage/Meatballs)

Bread preferences: Biscuits, cornbread, French, Italian, muffins, rye, whole wheat, whole grains, ciabatta, focaccia, Tortillas (corn or flour) 

GRAINS: Rice(jasmine, wild, brown, arborio) Grains( barley, corn, couscous, oats, orzo, quinoa)
PASTA: whole wheat, noodles, dumplings, gnocchi, penne, spaghetti, angel hair, fettucine, bowtie, orzo, Gluten-free

DAIRY: (milk, yogurt, sour cream, cream, feta, Jack, mozzarella,, Romano, Parmesan, Mozzarella, Cheddar, Swiss, Fontina, Provolone, Blue, others) 

VEGETABLES: avocado, broccoli, asparagus, arugula, capers, green peas, green beans, spinach, green peppers, red peppers, celery, eggplant, green onion, cabbage, bok choy, collard greens, black olives, green olives, carrots, corn, beets, tomatoes, sweet potatoes, sun-dried tomatoes, plantains, cauliflower, potatoes, Beans (black, pinto, kidney, lima, white, Edamame (soy), garbanzo (chickpeas), lentils, black- eyed peas) Onions (cooked, raw, green, red, garlic) Squash (pattypan, summer, yellow, zucchini, butternut, pumpkin) Mushrooms (button, portabella, shitake, oyster, crimini)

SEASONINGS: allspice, anise, basil, capers, caraway, cayenne, chili powder, cilantro, chutney, cloves, cinnamon, cumin, curry, dill, fresh garlic, ginger, horseradish, lemongrass, lemon, lime, mint, mustard, orange, black olives, green olives, kalamata olives, oregano, paprika, parsley, pepper, rosemary, sesame, soy sauce, tarragon, thyme, worcesterchire sauce OTHER: Nuts (almonds/ brazil/ cashews/ pecans/ hazelnuts/ macadamia/ walnuts/ peanuts/ pistachio/ pumpkin seeds/ sesame seeds/ sunflower seeds/ coconut) 

Herbs are very good for you and some of my favorites are: Parsley, Cilantro, Dill, Thyme, and Basil. Please let me know if you know you love or do not like any of these, including lesser used ones such as Oregano, Sage, Rosemary, Lemongrass, Chives and Tarragon. 

How do you like your foods prepared (circle as many as apply): Sauteed Broiled Pan-seared Grilled Roasted Boiled Baked Steamed Braised Stewed

May I cook with alcohol?

Do you like spicy foods? On a scale of 1-5 where do you fall?

Would you enjoy any meatless entrees?

Are you a vegetarian? If yes, please circle or specify exact type of vegetarian:

Pescatarian (no meats but will eat fish)Flexitarian/Semi-Vegitarian (mostly vegetarian but occasionally meat) Lacto-Ovo-Vegetarian (no meat, fish, or shellfish but will eat dairy and eggs) Lacto-Vegetarian (no meat, shellfish, fish or eggs but will eat dairy) Ovo-Vegetarian (no meat, shellfish, fish or dairy but will eat eggs)

Is chicken or beef stock okay to use?

How would you prefer your entrees packaged? Individuals/Packages of 2 or 3/Family-style

We can talk more about crockpots, pots, pans, utensils, crockpots, pressure cookers etcetera that may come in handy to use to prepare your meals…..

There is a glass Pyrex setup needed to neatly label and stack in the refrigerator for you each week. I can send you some links to purchase or you can reimburse me for purchasing these for you. We’re just looking for you to have a setup that will fit nicely into your fridge and have the ability to heat in the oven or microwave. We can discuss more in person at our initial consultation!

DESIRED COOK DATE? Desired recurring day of the week I come (This may or may not be available! We can agree to firm details later):