Client Questionnaire Web Site Your Name * Your Email * 1. What city/area are you located in? 2. How many meals do you want to purchase a day/week (breakfast, lunch, snack, dinner)? 3. Do you have a fitness goal (lose or gain weight)? 4. Do you have any food allergies or dietary restrictions? 5. What is your favorite ethnicity of food? 6. How often do you workout or do physical activities? 7. List all proteins that you like to eat (e.g., beef, poultry, pork, seafood, shellfish, beans, nuts, tofu). 8. List all vegetables that you like to eat (raw or cooked). 9. List all fruits that you like to eat. 10. List all of the grains you like to eat (e.g., brown rice, white rice, quinoa, oats, wheat products). 11. List all foods that you do not like eating. 12. Is all dairy and eggs okay for you? If so, how do you like them prepared? 13. What is your favorite type of healthy food? 14. Have you purchased prepared meals before? If yes, which company? 15. How did you hear about our service?
