Personal Chef Form

Meal Prep Form
Full Name

First NameLast Name
Age
years
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What do you do for a living?
Whats the activity level at your job?

none(seated only)Moderate (light activity such as walking)High (heavy labor, very active)
Do you follow a regular working schedule, do you work days, afternoon or nights?
How often do you travel?

RarelyA few times a yearA few times a monthWeekly
Please list any food allergies
If you have any other health problems list the condition(s).
Foods you avoid
Foods you love
Your current diet could be best characterized as:

low-fatlow-carbhigh-proteinVegetarian/VeganNo special diet
What following goals does best fit in with your goals?

Improved healthImproved enduranceIncreased strength gainsIncreased muscle massFat loss
What is your goal with your meal prep?

How long are you looking to receive deliveries?

Rows	6 WKS	8 WKS	12 WKS	16 WKS	18 WKS	1 YEAR
NOW

Are you currently excersising regulary (at least 3x per week)?

YesNo
At what time does prep delivery work for you?

Sunday Morning 9a (Full)Sunday Mid-Day 12-3p(Full)Wednesday Morning 7-9aSunday Late Evening 7-9p
Select your custom meal option

6 weeks of Lunch6 weeks of Lunch and DinnerOther
Select your pre fixe meal option

5 individual meals5 family style meals10 individual meals10 family style mealsOther
1.) CANCELLATIONS

Cancellations after the first week (trial period) should be made at least 24 hours in advance of a scheduled drop. You make skip a week at any time, but only 2 skips per meal plan period.

2.) DELIVERY TIME

Each delivery will be confirmed with an hour estimate each time. If the time doesn't work for you, you can have a reschedule with 24 hours notice.

3.) CUSTOM MEALS

All the information on this form is used by GET FOOD THERAPY to create meals and dishes, you and/or your family will love specifically for you. We may reach out for additional questions. We only use organic ingredients, free range, chicken, grass, fed beef, wild caught fish, and we prefer to avoid meatless protein substitutes.

4) COSTS FOR SERVICE

The cost for prep ranges between 16-34/serving. This is based on the most effective local meat and produce. Pre fixe meals are local/seasonal and have the lower costs. All meal preps are fresh. Cost varies week to week, but a range will be provided when you sign up.
Best way to invoice

Link to pay via Credit cardVenmoPaypalCheck/Cash
I AGREE TO THE ABOVE TERMS & CONDITIONS!

YesNo
Should be Empty:

Meal Prep Form