Forms | Chef Lorie

New Client Information

Your email address

First Name

Last Name

City

Region/State/Province

Phone

*Please check all items that you WILL eat. If there is an item that you will not eat and it is listed with items that you will eat, please explain in the notes section below.

Meat/Poultry

Beef [roasts, steaks, stews, ground]

Lamb [chops, leg, ground]

Poultry [chicken, turkey, duck, ground]

Pork [chops, ham, sausage, bacon, tenderloins, pork belly, roasts]

Vegetarian [tofu, tempeh, lentils, saitan,]

Fish/shellfish

White Fish [cod, flounder, tilapia, seabass, bronzino, etc]

Fish Steaks [swordfish, monkfish, ahi tuna]

Salmon [grilled, roasted, broiled, smoked]

Shellfish [shrimp, scallops, lobster, crab, etc]

Mollusks [oysters, mussels, clams]

Sushi - raw

Sushi - cooked only

Salad

Green salads [greek, caesar, house, etc]

Fruit in salad [strawberries, mango, apple, blueberries, etc]

Chopped salads [mainly vegetable salads that have been chopped down]

Vegetable noodle salads

Grain salads

Salads as main course

Soups/stews

Veggies

Green [broccoli, asparagus, zucchini, peas, green beans, brussels sprouts, celery, broccolini, snap peas]

Yellow [wax beans, summer squash, spaghetti squash, delicata squash, golden beets]

Red [cabbage, beets, tomato, sundried tomato, red bell pepper, sweet potato, carrot, butternut squash, pumpkin]

White [cauliflower, parsnip, bean sprouts, mushroom, leek, onion, garlic]

Leafy greens [kale, spinach, collards, arugula, watercress, chard, bok choy]

Beans [black beans, white beans, red beans, cranberry beans, chickpeas, soybeans]

Dark [eggplant, capers, olives]

Herbs/seasonings

Fresh herbs [parsley, tarragon, chives, oregano, basil, sage, rosemary, chervil, thyme]

Spices [cumin, coriander, cardamom, chili powder, cinnamon, turmeric, ginger]

Seasonings [sea salt, black pepper]

Other [chili powder, paprika, red pepper flakes, white pepper]

Spice level

If selected Other, please explain.

Favorite foods

Favorite restaurants

What two dishes do you most often order when dining out?

I purchase the types of foods that you normally buy for yourself. Please check any items that apply

If you selected other, please explain

Food allergies

How often would you like service?

Please list any other kitchen tools/items if not listed above

Notes

Thanks for sharing! We always strive to improve.