Personal Chef Questionnaire

We appreciate you thoughtfully completing this questionnaire. Your input allows your personal chef to design menus tailored specifically to your nutritional needs, preferences, and lifestyle.

First name

Last name

Phone

Any food allergies or intolerances? (Please list all)

Are there any medical or health considerations I should know of?

Are you working with a Registered Dietitian (RDN), Nutritionist (CDN) or other medical professional that performs nutrition counseling?

Registered Dietitian (RDN)

Nutritionist (CDN)

None

Other

Is anyone in the household currently following a specific restrictive diet plan?

Yes

Approximately how many days a week do you eat meat?

Approximately how many days a week do you eat fish?

Any food strong dislikes or foods that should otherwise be avoided?

What are some of your favorite foods/dishes?

Level of spice preferred

No spice

Mild

Medium

Spicy

Approximately how many times a week do you go out to eat?

Never/Rarely

1-2 times

3-5 times

5+ times

How often do you order takeout/delivery

Never/Rarely

1-2 times

3-5 times

5+ times

What are the typical reasons you go out to eat or order in? (check any that apply)

If you or other household members work outside the home, how do you manage lunches?

Have you ever used, or are you currently using any meal delivery services?

Yes, currently

Yes, in the past

Have you used a Personal Chef before?

Yes

How many days/nights a week are you looking for Personal Chef services?

When do you prefer your chef to prepare meals on site? (check any that apply)

Mornings approximately 9-2

Evenings approximately 3-8

Either time windows are fine

Other

Would you like:

Hot meal prepared and served the same evening?

Meals prepared for the week and stored with reheat instructions?

A mix of both?

Other

Are there any limitations or preferences in your kitchen? (i.e. lack of appliances, storage, space, etc.) Enter N/A if not applicable

How will the chef be let into the home?

What would make a personal chef service a win for you? (check any that apply)

Are there any specific goals related to hiring a personal chef? (check any that apply)

Is there anything else you’d like me to know about your household, tastes, or expectations? Please feel free to be candid and thorough with expectations.

How did you hear about us?

Web search

Facebook/Instagram advertising

Referred by someone

Other

Personal Chef Questionnaire

We appreciate you thoughtfully completing this questionnaire. Your input allows your personal chef to design menus tailored specifically to your nutritional needs, preferences, and lifestyle.

Any food allergies or intolerances? (Please list all)

Are there any medical or health considerations I should know of?

Are you working with a Registered Dietitian (RDN), Nutritionist (CDN) or other medical professional that performs nutrition counseling?

Registered Dietitian (RDN)

Nutritionist (CDN)

None

Other

Is anyone in the household currently following a specific restrictive diet plan?

Yes

Approximately how many days a week do you eat meat?

Approximately how many days a week do you eat fish?

Any food strong dislikes or foods that should otherwise be avoided?

What are some of your favorite foods/dishes?

Level of spice preferred

No spice

Mild

Medium

Spicy

Approximately how many times a week do you go out to eat?

Never/Rarely

1-2 times

3-5 times

5+ times

How often do you order takeout/delivery

Never/Rarely

1-2 times

3-5 times

5+ times

What are the typical reasons you go out to eat or order in? (check any that apply)

If you or other household members work outside the home, how do you manage lunches?

Have you ever used, or are you currently using any meal delivery services?

Yes, currently

Yes, in the past

Have you used a Personal Chef before?

Yes

How many days/nights a week are you looking for Personal Chef services?

When do you prefer your chef to prepare meals on site? (check any that apply)

Mornings approximately 9-2

Evenings approximately 3-8

Either time windows are fine

Other

Would you like:

Hot meal prepared and served the same evening?

Meals prepared for the week and stored with reheat instructions?

A mix of both?

Other

Are there any limitations or preferences in your kitchen? (i.e. lack of appliances, storage, space, etc.) Enter N/A if not applicable

How will the chef be let into the home?

What would make a personal chef service a win for you? (check any that apply)

Are there any specific goals related to hiring a personal chef? (check any that apply)

Is there anything else you’d like me to know about your household, tastes, or expectations? Please feel free to be candid and thorough with expectations.

How did you hear about us?

Web search

Facebook/Instagram advertising

Referred by someone

Other