Food Questionnaire

Address(Required)
Desired Start Date(Required)
MEATS (Please check the boxes of the items that you like only)
POULTRY (Please check the boxes of the items that you like only
FISH/SHELLFISH: (Please check the boxes of the items that you like only
SALADS: (Please check the boxes of the items that you like only
SALAD DRESSINGS: (Please check the boxes of the items that you like only
SOUPS: (Please check the boxes of the items that you like only
VEGETABLES: (Please check the boxes of the items that you like only
GRAINS: (Please check the boxes of the items that you like only
BREADS: (Please check the boxes of the items that you like only
SEASONINGS: (Please check the boxes of the items that you like only
FATS / OILS: (Please check the boxes of the items that you like only
MILK AND MILK PRODUCTS: (Please check the boxes of the items that you like only
EGGS: Please check the boxes of the items that you like only
OTHER: Please check the boxes of the items that you like only
Please enter a number from 1 to 7.
Please enter a number from 1 to 100.
Portion control (yes or no)(Required)
Sides with service ( 1 side with each entrée or 2 with each entrée)(Required)
Organic or Non-organic groceries(Required)
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