Customer Survey

Email Address *

Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Phone *

Store Name

Are you looking for Kosher meals prepared in your home?YesNoMaybe

Do you prefer organic fruits and vegetables?YesNo

Do you prefer grass fed or organic poultry, seafood and meats?YesNoOther

Other Meats

What seafoods do you like?

What meat do you like?

What do you dislike?

Do you like your food mild, medium or very spicyMildMediumVeryOther

Other Spice

Provide websites, cookbook titles, favorite local restaurants, information from dietitians, nutritionists or doctors that will be helpful in creating a file of information as I work in creating menus for you.

What are your favorite cuisines?

Write none if you have no food allergies.

Food you don't like to eat.

Which of these days work best for you from 10am - 2pm?MondayTuesdayWednesdayThursday

Cooking Classes for up to 8 people ($125 pp)Saturday 5pm - 9pm

Do you have any questions for chef David?

Acknowledgment

At Gourmet Organic Dinners, I proudly serve busy professionals—including those with food sensitivities—who refuse to sacrifice flavor and who truly Savor Their Thyme.

Based on our conversation and the information you provide in the Client Survey Page, I will create 5 seasonal, delicious entrées, each served with either 2 vegetables or 1 vegetable and 1 starch, packaged as 2 servings per meal for the week.

All meals are freshly prepared, portion controlled, and packaged in recycled containers, complete with labels, ingredients, and reheating instructions. On your scheduled day, I will arrive at your home—with my assistant—to prepare, package, and label your meals. We’ll leave your kitchen spotless and your home smelling amazing!

Payment is due upon delivery by cash or check payable to Gourmet Organic Dinners. I have read, understood, and accepted the terms above.

I understand and accept what I have read.YesNo

What Questions do you have?

Please fill out to the best of your ability.

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