Vidaluxlook Dietary Preferences Survey
In an effort to offer meals and snacks to our staff, we would like to gather more information about your dietary preferences, food allergies, and ideas for favorite meals & local restaurants we could use to plan meals for staff.
Name
First Name
Last Name
Phone number & email address:
Drop off address:
How did you hear about us?
Name
Other
Please select the diet that most closely matches your food choices:
Vegan: includes plant-based foods only and excludes animal foods of any kind.
Vegetarian: includes eggs, milk, milk products and plant foods, but excludes red meat, fish and poultry.
Standard: includes red meat, fish, poultry, eggs, milk, milk products and plant foods.
Pescetarian: includes fish, eggs, milk, milk products and plant foods, but excludes red meat and poultry.
Foods not consumed:
No Red Meat
No Chicken
No Fish
No Eggs
No Pork
No Dairy Products
Other
Food Allergies:
Peanuts
Fish/Shellfish
Eggs
Peanut or nut butter
Soy products
Milk
Tree nuts (Walnuts, almonds, pecans etc.)
Sugar
Mushrooms
Gluten
Other
Please provide any additional details not covered above:
Favorite Meal Options & Restaurants (for breakfast, lunch, snacks):
Please provide two projected days and time frames per week for meals to be delivered:
What is your weekly budget for Vidaluxlook meal delivery?
Submit
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