Mak’s On The Go Client Intake
Personal Chef Service Registration
Client Information
Tell us about yourself and how to reach you.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Cooking Address (where services will take place)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Household Information
Help us understand your household needs.
How many adults will i be cooking for?
*
How many children?
Are there any pets in the home?
yes
no
Service Type
Select the service you are interested in.
Which service are you interested in?
*
Weekly Meal Prep
One-Time Meal Prep
Small Event / Gathering
In-Home Private Dinner
Other
If “Other,” please describe:
Dietary Needs & Restrictions
Please select your dietary needs and restrictions.
Dietary Needs & Restrictions
*
None
Gluten-Free
Dairy-Free
Vegetarian
Vegan
Pescatarian
Keto / Low-Carb
Food Allergies
Other
If allergies or special needs, please be specific
Acknowledgement: I understand meals are prepared in a home kitchen and may contain trace allergens
*
I understand meals are prepared in a home kitchen and may contain trace allergens
Food Preferences
Tell us about your food likes and dislikes.
Foods you LOVE
Foods you DISLIKE or want to avoid
Preferred Proteins
Chicken
Beef
Pork
Seafood
Plant-Based
Spice Level Preference
Please Select
Mild
Medium
Spicy
Cultural, Comfort, or Favorite Meals
Goals & Lifestyle
Weight loss
Muscle gain
Balanced nutrition
Macro tracking
Family-friendly meals
Convenience / time-saving
Comfort / healing foods
Scheduling & Groceries
Tell us about your cooking and grocery preferences.
Preferred Cooking Day
Wednesday
Thursday
Would you like to get on the Monday/Tuesday Waitlist?
Preferred Cooking Time Window
Please Select
Morning
Afternoon
Evening
Grocery Preference
*
I will order groceries (Instacart or store pickup)
Mak’s On The Go will shop for groceries (reimbursed + hourly rate)
Preferred Grocery Store(s), if any
Is your kitchen fully equipped for cooking?
Yes
No
Anything I should know about your kitchen or storage space?
I understand Mak’s On The Go charges an hourly rate for cooking, and most meal prep sessions take 2–3 hours, depending on household size and menu.
*
I understand
Accepted Payment Methods
Cash
Venmo
Cash App
Apple Pay
I confirm all information provided is accurate and understand that menus are customized based on this intake and follow-up communication.
*
I confirm all information provided is accurate and understand that menus are customized based on this intake and follow-up communication.
Electronic Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
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