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Food Preference Questionnaire
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Please print and complete the following food preference questionnaire.  You can discuss it with Chef John or fax it to him at 301-515-7716.

Prepared For:_______________________

 

Here is your opportunity to let us know what you prefer in your customized menu.  Please check preferences and add comments.  Circle any foods that you don't like and never wish to see.

 

MEATS:

            __  Beef (steak/roasts/ground round)

            __  Pork (chops/roasts/ribs/bacon/ham/ground)

            __  Veal (stew/ground/scallops)

            __  Lamb (chops/stew/ground/roasts)

            __  Meatloaf

            __  Meat and vegetable/pasta casseroles

 

Comments:

 

 

POULTRY:

            __  Chicken (breasts/thighs/ground/etc.)

            __  Turkey (breasts/smoked/ground/scalloped/etc.)

            __  Chicken or turkey meatloaf

            __  Chicken or turkey and vegetable/pasta casseroles

 

Comments:

 

 

FISH/SHELLFISH:

            __  Fish (bass, yellowtail, orange roughly, catfish, snapper)

            __  Shrimp

            __  Scallops

            __  Crab

            __  Lobster

            __  Tuna (canned, in oil or water?)

 

Comments:

 

 

SALADS:

__  Fresh Green (choice of greens/lettuces, such as Romaine, red leaf, bibb, mixture, spinach, etc.)

            __  Fruit

            __  Rice

            __  Pasta

            __  Jello

            __  Salads as a main dish?

 

Comments:

 

 

SALAD DRESSINGS:

            __  Mayonnaise

            __  Ranch

            __  Vinaigrette

            __  French

            __  Oil/vinegar

            __  Red wine/vinegar

            __  Thousand Island

            __  Other (identify)

 

Comments:

 

 

SOUPS:

            __  Creamed (name type:                                   )

            __  Hot

            __  Cold

            __  Chunky

            __  Clear

            __  With meat/poultry?

            __  Soups as a main dish?

 

Comments:

 

 

VEGETABLES:

__  Green (peas, green beans, spinach, asparagus, peppers, cabbage, pea pods, celery, mustard greens)

            __  Yellow (corn, wax beans, squash, peppers)

            __  Red (pimento, red cabbage, beets, tomatoes, peppers, sweet potatoes/yams)

__  White (cauliflower, potatoes, parsnips, water chestnuts, bean sprouts, onions, mushrooms, leeks)

            __  Beans (black, ranch-style, pinto, kidney, lima, white, pink)

 

Comments:

 

 

GRAINS:

            __  Rice

            __  Couscous

            __  Quinoa

            __  Wheat/granola

            __  Corn

            __  Other (identify)

 

Comments:

 

 

BREADS:

            __  Wheat

            __  White

            __  Rolls (white or wheat, sour dough, etc.)

            __  Biscuits

            __  Cornbread

            __  Muffins

            __  Pancakes

            __  Waffles

            __  Tortillas

 

Comments:

 

 

SEASONINGS:

__  Oregano, sage, rosemary, tarragon, fennel, cumin, cilantro, paprika, parsley, celery, chili powder

            __  Fresh garlic, parsley

            __  Pepper, white, black or red

            __  Salt, regular or Kosher

 

Comments:

 

 

FATS/OILS:

            __  Butter

            __  Margarine

            __  Canola Oil

            __  Corn Oil

            __  Olive Oil

            __  Vegetable Oil

            __  Sunflower Oil

            __  Lard

            __  Shortening

 

Comments:

 

 

MILK AND MILK PRODUCTS:

            __  Cheeses (parmesan, cheddar, swiss, muenster, fontina, etc.)

            __  Milk (skim, 1%, 2%, whole)

            __  Cottage cheese

            __  Yogurt

            __  Sour cream

            __  Half and half

 

Comments:

 

 

EGGS:

            __  Whole

            __  Eggbeaters substitute

            __  Yolks only

            __  Whites only

 

Comments:

 

 

OTHER:

            __  Tofu

            __  Soy-based meatless products

            __  Nuts (pecans, peanuts, walnuts, almonds, cashews, Brazil, etc.)

 

Comments:

 

 

List any vegetables or fruits you don't ever want to see:

 

List any other food dislikes:

 

 

List any known food allergies:

 

 

Rate 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, etc.

Chef John will design a unique menu tailored to your food preferences and any dietary restrictions.  Call for details.