Chef Deidre Frazier
is a member of APPCA


Questionnaire


PLEASE FILL THE FOLLOWING QUESTIONNAIRE FORM AND I WILL DESIGN A SAMPLE MENU BASED ON YOUR PREFERENCES
 
 Your Personal Information
   
 Name:
 Address:
 Telephone:
 Email:
 Your Preferences and other food related information
   

 Preferred Method of reheating

  Reheating or completion time
Conventional Oven 0-15 minutes
Stovetop 15-30 minutes
Microwave 30-45 minutes

 

  
 Level of Cooking Experience  Allergies
Above Average Yes
Average (List all Known allergies

Little to No Cooking Experience
 
 Level of Food Adventure
Not at all Adventurous No
Periodically Adventurous Unsure
Often Adventurous Additional Comments
I'll try anything once !
 
 Level of Spice

None

  
Mild  
Medium  
Hot  

Select Answer  (1 DISLIKE TO 10 ENJOY)

COMMENTS
     
Bell Peppers
Garlic
Hot Peppers
Mushrooms
Broccoli
Cauliflower
Eggplant
Squash
Carrots
Peas
Tomatoes
Lettuce
Potatoes
Beets
Radishes
Artichokes
Asparagus
Green Beans
Fava Beans
Corn
Spinach
Cabbage
Dill
Tarragon
Cilantro
Basil
Rosemary
Mint
Oregano

How much you use the following items normally in your daily diet
       
Beef Rarely Often Never
Lamb Rarely Often Never
Poultry Rarely Often Never
Pork Rarely Often Never
Veal Rarely Often Never
Salmon Rarely Often Never
Halibut Rarely Often Never
Seabass Rarely Often Never
Fresh Tuna Rarely Often Never
Clams Rarely Often Never
Mussels Rarely Often Never
Oysters Rarely Often Never
Scallops Rarely Often Never
Crab Rarely Often Never
Rice Rarely Often Never
Pasta Rarely Often Never
Butter Rarely Often Never
Olive Oil Rarely Often Never
Canola Oil Rarely Often Never
Sesame Seed Oil Rarely Often Never
Vinegar Rarely Often Never
Cream Rarely Often Never
Cheese Rarely Often Never
Nuts Rarely Often Never