Name *
Name
Date *
Date
Address *
Address
Phone *
Phone
Are you interested in: *
Does anyone in the household have any food allergies, sensitivities, intolerances or dietary constraints?
What is the level of spiciness that you prefer?
May I cook with alcohol?
How would you prefer to re-heat your meals?
Is your stovetop:
How many functioning burners?
How many functioning and accurate burners?
Is your oven:
Is your oven:
Do you have a functioning microwave?
Do you have a working garbage disposal?
Do you have an additional freezer?
Do you have an additional refrigerator?
How will you most likely reheat your entrees?
Will anyone be home while I am cooking in your kitchen?