MY PERSONAL CHEF
Food Questionnaire for _______________________________
Here is your opportunity to let us know what you prefer in your customized menu.
Please check preferences and draw a line through items that you do not like and do not want to see on your menu.
Please add comments as this will help me make your menu selections.
__ Beef (steak/roasts/ground round)
__ Pork (chops/roasts/ribs/bacon/ham/ground)
__ Veal (stew/ground/scallops)
__ Lamb (chops/stew/ground/roasts)
__ Meat loaf
__ Meat and vegetable/pasta casseroles
__ Chicken (white meat/dark meat/ground/sausage)
__ Turkey (white meat/dark meat/smoked/ground/scalloped/etc.)
__ Turkey meat loaf
__ Chicken or turkey and vegetable/pasta casseroles
__ Fish (bass, mahi mahi, orange roughly, catfish, salmon, whitefish, trout, cod)
__ Tuna (canned, in oil or water?)
__ Fresh Green (choice of greens/lettuces, such as Romaine, red leaf, bibb, mescaline mix , spinach, etc.)
__ Fruit (strawberries, apples, pears, bananas, grapes, oranges, mandarin oranges, kiwi, coconut, pineapple)
__ Rice (white, wild, brown, coconut, Spanish, arborio)
__ Salads as a main dish?
__ Mayonnaise (real, Miracle Whip, light mayo, light Miracle Whip)
__ Ranch (regular or low fat?)
__ Vinaigrette (Apple Cider, Balsamic, Herbed, Raspberry Mustard)
__ Red wine/vinegar
__ Thousand Island
__ Other (identify)
__ Chef Michael's own creations
__ With meat/poultry?
__ Soups as a main dish?
__ Green (peas, green beans, spinach, asparagus, peppers, cabbage, pea pods, celery, )
__ Yellow (corn, wax beans, squash, peppers)
__ Red (pimento, red cabbage, beets, tomatoes, peppers, sweet potatoes/yams, eggplant) __ White (cauliflower, potatoes, parsnips, water chestnuts, bean sprouts, onions, , leeks)
__ Beans (black, ranch-style, pinto, kidney, lima, white)
__ Mushrooms (button, portabella, shitake, woodear, oyster, crimini)
__ Other (identify)
__ Rolls (white or wheat, sour dough, etc.)
__ Oregano, sage, rosemary, tarragon, fennel, cumin, cilantro, paprika, parsley, celery, chili powder, curry, nutmeg, cinnamon, basil
__ Fresh garlic, parsley
__ Pepper-white, black or red
__ Salt-regular or Kosher
FATS/OILS:(We recommend olive oil and canola oil)
__ Canola Oil
__ Corn Oil
__ Olive Oil
__ Vegetable Oil
__ Sunflower Oil
__ Fat free butter spray
MILK AND MILK PRODUCTS:
__ Cheeses (parmesan, cheddar, swiss, muenster, fontina, etc.)(low fat or regular?)
__ Milk (skim, 1%, 2%, whole)
__ Cottage cheese
__ Sour cream(regular, low fat or fat free?)
__ Half and half
__ Yolks only
__ Whites only
__ Eggbeaters substitute
__ Soy-based meatless products
__ Nuts (pecans, peanuts, pistachios, walnuts, almonds, cashews, Brazil, etc.)
- List any vegetables or fruits that you do not want to see:
- List any other food dislikes:
- List any known food allergies:
- Circle your preference for spicy foods: bland / mild / moderate / very
- Bread preferences:
- Do you have any favorite recipes that I can prepare for you?
- Do you have a barbecue and want meals prepared for cooking on it?
- Do you have a wok and want meals prepared for cooking in it?
- International cuisine? Mexican / Curries / Italian / Greek / Thai / Chinese
- Do you have any food items that you really enjoy and would like to have often?