Meal Prep Intake Form
Please fill out this form to help us plan your meals.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
What type of service are you booking?
*
In-Home Personal Chef
Meal Prep Delivery
Custom Meal Plan + Grocery Shopping
Number of Meals Per Week Desired
*
3 (Basic Package) 2+ servings per meal with one protein
4 (Standard Package) 2+ servings per meal with one protein
5 (Premium Package) 2+ servings per meal with two proteins.
An extra protein fee of $10-$25 applies for additional protein.
Add-on fee for Plant-based/Organic clients $25
Preferred Service Day
-
Month
-
Day
Year
Date
Preferred Service Time
Hour Minutes
AM
PM
AM/PM Option
Meal Prep Delivery Clients Only: Preferred pickup/delivery location
*
I understand
*
Locations outside of Douglas County will incur a delivery fee.
Preferred Meals
*
Breakfast
Lunch
Dinner
Preferred Meal Options
Italian
Mexican
Asian
American
Mediterranean
Soul Food
Other
Dietary Restrictions
None
Vegetarian
Vegan
Gluten-Free
Dairy-Free
Nut-Free
Low-Sodium
Other
Do you prefer any specific types of meal preps? (e.g., salads, soups, casseroles, grain bowls, etc.):
Are there any specific foods, herbs, or spices you dislike or avoid? If yes, please list:
Health and Wellness Goals What are your current health and wellness goals? (e.g., weight loss, muscle gain, blood sugar management, general health, etc.):
Do you have any medical conditions that affect your diet? If yes, please describe:
Do you have any specific macronutrient requirements? (e.g., high protein, low carb, balanced) Do you track your caloric intake? If yes, please provide your daily caloric goal:
Portion Sizes and Nutritional Needs What portion sizes do you prefer for your meals? (e.g., small, medium, large)
Taste and Flavor Preferences Do you prefer your meals to be more savory or sweet?
Do you enjoy spicy foods? If yes, how spicy? (e.g., mild, medium, hot)
Do you have any other preferences or requests for your meals?
List your desired meals and desired protein you'd like for this week.
Grocery & Kitchen Details
*
I understand the chef will shop for personal chef service & meal plan/grocery shopping service (client provides groceries; upfront deposit required). Meal prep delivery service will not include groceries.
Kichen Equipment Available:
Stove/Oven
Blender/Food Processor
Air Fryer/Deep Fryer
Instant Pot/Crockpot
Cookware
Cooking Utensils
Other
Do you have sufficient fridge and freezer space for meal storage?
Yes
No
Do you have any special kitchen rules or preferences (e.g., no pork, no cross-contamination, specific cleaning preferences)?
Would you like assistance creating a grocery list?
Yes
No
Preferred grocery store(s):
Do you prefer organic or specific brands? ( ) Yes ( ) No If yes, please specify:
Estimated grocery budget for this prep:
Do you have any household members or pets that I should be aware of?
Do you have any parking instructions or building access details?
Submit
Should be Empty: