Cooked By Conte New Client Form
Complete this form to help us customize your in-home Chef service.
Household & Contact
1. How did you hear about Cooked By Conte?
2. Primary Contact Name
*
First Name
Last Name
3. Primary Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
4. Primary Contact Email
*
example@example.com
5. Service Address (where the chef will be cooking)
*
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
6. Who will be eating the meals we prepare? Include number of adults, children, and anyone with different dietary needs or preferences.
*
7. Preferred communication method for menus, scheduling, groceries, and service updates
*
Text
Phone
Email
Combination (please specify in comments)
Schedule & Visit Structure
8. Ideal service start date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
9. Preferred meal-prep visit frequency
*
Please Select
Weekly
Multiple Times per Week
Daily
Every other week
Twice per month
As needed
10. Preferred days and arrival timeframes for visits
11. Number of people and meals/days each visit should cover
12. Preferred portioning style
Individual grab-and-go servings
Family-style portions
Combination
Plated and Served
13. Recurring scheduling considerations (work/school schedules, travel, pets, parking, access instructions, dates home is unavailable)
Food, Menu & Nutrition Preferences
14. Dietary requirements, allergies, ingredients, cuisines, or strong dislikes to account for
*
15. Foods, cuisines, meals, or ingredients you especially love and want regularly
16. Foods household members consistently avoid or will not eat
17. Nutritional or lifestyle priorities for meal planning
Higher protein
Lower carbohydrate
Heart-healthy
Lower calorie
Family-friendly
Gluten-free
Dairy-free
18. What would make your Chef service feel especially successful for your household? What do you want it to make easier?
Experience & Payment
19. Have you used a personal chef, meal-prep service, or similar service before? If yes, what did you like, and what would you want done differently this time?
20. Would you like to keep a card on file with Cooked By Conte for easier future payments? Your payment method can be securely saved through the website checkout by selecting "Save payment type."
Please Select
Yes, I'd like to keep a payment method on file
No, I prefer to pay each time
Not sure yet
Submit
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