Food Preference Questionnaire
Help me, Help you!
1. How would you consider yourself?
Vegan
Vegeterian
Pescatarian
None of these
2. Are you allergic to any of the following foods? Please select all that apply.
*
Peanuts
Tree nuts
Sesame
Dairy
Shellfish
Fish
Egg
Wheat/Gluten
Soya
Celery
Mustard
Other
3. Please indicate how much you like the following foods.
*
Rows
Dislike a lot
Dislike
Neutral
Like
Like a lot
Not applicable
Red Meat
( Beef, Goat, etc)
Game Meat
(Lamb,Elk,Bison)
Poultry
(Chicken,Turkey, Duck etc )
Pork
Fish
(Salmon, Catfish, Halibut)
Shellfish
( Shrimp,
Crab, Scallops)
5. Are you open to trying something new?
*
Yes
No
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Please verify that you are human.
*
Submit
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