KarlasKreations
If it has to do with food, Karla can do it.
Personal Chef Interview Form
This will assit me in preparing your menu and meeting all your diet needs. Karla’s Kreations Personal Chef Interview Name: ________________________________________________________________ Address: ______________________________________________________________ Phone: ____________________________ Cell: ____________________________ Work: ____________________________ Email: ____________________________ Birthdays: _____________________________________________________________ As a Personal Chef my goal is to make your dining easier and healthier for you. Below you will find questions that will assist me in creating the perfect menu for you and your family. Health Issues: High Blood Pressure: ________ Diabetic: ___________ High Cholesterol:_______ Gluten Free Diet: __________ Lactose Intolerant: _________ Other: ________________________________________________________________ Specific Diet Plan: _______________________________________________________ Food Allergies: _________________________________________________________ Food Sensitivities: _______________________________________________________ Food Texture: _________________________________________________________ Food Purchase Preferences: ___Organic ___Name Brand ___Generic Store Preference: ________________________ Food Preferences Vegetarian: ___Vegan ___Lacto ___Lacto-Ovo ___Ovo Rating 1-8, which of the following do you tend to eat most often: Beef___ Chicken___ Fish ___ Lamb ___ Pork ___ Shellfish ___ Some recipes may include alcohol. Is it okay to use in your meal prep? Yes ___ No ___ Anything in these categories you don’t like: Veggies: ______________________________________________________________ Meats: ________________________________________________________________ Fish/Seafood: __________________________________________________________ Fruits: ________________________________________________________________ Grains: _______________________________________________________________ Other: ________________________________________________________________ Beef Doneness: ___________________ Grill ready entrees: Yes ___ No ___ Chicken and Fish/ Shell fish preferences: ______________________________________________ Are you open to Vegetarian entrees? Yes ___ No ___ Do you enjoy as meals: ___ Salads ___Soups ___Pastas Cheese: Real ___ Low-fat ___ Non-fat ___ Cheeses: Blue Brie Cheddar (Mild/Med/Sharp) Cream Cheese Cottage Cheese Feta Goat Nuts: Almonds Cashews Hazelnuts Macadamia Nuts Peanuts Pecans Pistachios Walnuts Vegetables: Artichoke Asparagus Bamboo Shoots Beet Bell Pepper Black Bean Broccoli Brussel Sprouts Cabbage Carrot Cauliflower Celery Corn Eggplant Fennel, Garbanzo Beans Green Bean Green Onions Kidney Bean Leeks Lentil Mushroom Onion Olives Peas Peppers (Red/Green/Yellow/Jalapeño/Chili) Potato Radish Shallot Snow Peas Sugar Snap Peas Spinach Sweet Potato Water Chestnut White Beans Winter Squash Zucchini Fruits: Apples Apricot Avocado Banana Blackberry Blueberry Cantaloupe Cherry Cranberry Grapefruit Grape Honeydew Kiwi Mandarin Orange Mango Salad Choices: Romaine Spinach Mixed Greens Iceberg Slaw Fruit Rice Pasta Veggie Potato Chicken Tuna Salad Dressing Preference: ________________________________________________ Spice Preference: Heavy Med Light Salt Preference: Heavy Med Light None Garlic Preference: Heavy Med Light Heat Preference: Heavy Med Light Many families like to come home on chef day to a hot meal, ready to enjoy. The best way to provide this is a crock-pot meal. Is this an option that you would like to consider? ___Yes ___No Packing Options: Are you interested in: portion control family style dining individual servings ______________________________________________________________________ Container Preferences: Pyrex Glass ___ Vacuum Sealed Bags ___ Disposable Container (ie: Ziploc) ___ Any of the above depending on recipe ___ Heating of meals preference: ___ Stovetop ___Microwave ___Oven Kitchen Info: Gas ___ Electric___ # of burners ___ Microwave ___ Crock-pot ___ Convection Oven ___ Food Processor ___ Stand Mixer ___ Hand mixer ___ How did you hear about my service? Is there someone I can thank? _________________ Are there any family favorites that I can prepare for you? _________________________ My business grows by referrals, please feel free to refer me to family and friends. Call 928 210-8884 or email
