Meal Needs & Preference Survey

Meal Needs & Preference Survey

We want to serve you with care, intention, and excellence. This short survey helps us prepare meals that truly meet your needs.
The Manna Table Mission

Our mission is to serve nourishing meals and foster genuine fellowship among the homeless, hardworking individuals, and busy families–creating a space where every person is seen, valued, and embraced with dignity.
Our Purpose

To feed those in need, whether single parents, the homeless, busy parents, workaholics, or even gym lifters. Goodness should be free and delicious.
Section 1: About You
Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender
Date of Birth

MonthDayYear
How many people are you typically feeding?
What best describes your current situation?

Other
If other, list here:
Do you currently have access to cooking equipment?:
Section 2: Meal Preferences
What types of meals do you prefer?
Your current diet could be best characterized as:
What flavors or styles do you enjoy most?
What are some of your favorite meals or dishes?
Section 3: Dietary Needs
Do you suffer from diabetes, asthma, high or low blood pressure?
if yes, please list:
Do you have any dietary restrictions?
If other, please list:
Are there any foods you cannot eat or prefer to avoid?
Do you have any health-related food preferences?
Please rate your readiness for change.
Section 4: Meal Usage
When would meals help you the most?
How often would meals be helpful for you?
What type of meals do you prefer?
Section 5: Portion & Packaging
What portion size works best for you?
How would you prefer meals to be packaged?
Do you need meals that:
Section 6: Personal Feedback
What would make a meal feel meaningful or special to you?
What is something you wish were easier about getting food right now?
Is there anything else you would like us to know so we can serve you better?
Optional Section: Fitness/ Busy Professionals
Do you have any fitness or health goals?
Are you interested in:
What following goals does best fit in with your goals?
What is your goal with your training?
Why?

TImeline for achieving your goal.

Rows	8 WKS	16 WKS	24 WKS	32 WKS	40 WKS	1 YEAR
NOW

How often are you willing to train a week to reach your goal?
Please rate your motivational level to do what it takes for reach your goal.
Are you currently excersising regulary (at least 3x per week)?
At what times during the day would you prefer to receive your meal(s)?
I AGREE TO THE ABOVE TERMS & CONDITIONS!
Should be Empty:

Meal Needs & Preference Survey

The Manna Table Mission

Our Purpose

Section 1: About You

Section 2: Meal Preferences

Section 3: Dietary Needs

Section 4: Meal Usage

Section 5: Portion & Packaging

Section 6: Personal Feedback

Optional Section: Fitness/ Busy Professionals