Meal Assessment Intake Questions

Full Name *

Nombre Completo

Email *

Correo Electrónico

Phone *

Número de Teléfono

Household Basics

How many people will the meals be for?

Are there children or seniors in the home?

Dietary Needs

Any food allergies or sensitivities?

Any dietary preferences (low sodium, gluten-free, dairy-free, etc.)?

Food Preferences

What are a few favorite comfort meals?

Any foods you strongly dislike or want to avoid?

Kitchen & Ingredients

Would you like meals made using what you already have, or should a grocery list be created?

Do you have basic kitchen equipment available (stove, oven, pots, pans)?

Meal Style

Do you prefer:

One main meal

Multiple meals

Batch cooking for leftovers

Do you want meals ready to eat or freezer-friendly?

Scheduling & Add-Ons

Is this being scheduled with a cleaning visit?

Would you like grocery shopping added on?

Gift Option (If Applicable)

Is this service a gift for someone else?

Any notes or special care considerations?

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