Prospective New Client Questionnaire Name * First Name Last Name Email * Phone * (###) ### #### How often would you like me to cook for you? * Weekly Bi-Weekly (every other week) Once a Month One-Time Only Other How many days a week you want me to cook for you? * One day a week Two days a week for fresher meals Other How many meals and servings per meal? For example, 2 lunches x 4 servings each, 2 dinners x 4 servings each, etc * Would you like me to cook in your kitchen or drop off? * Cook in my kitchen Drop off Location where your custom meals will be prepared or dropped off? * City and Zip Code What are your goals you'd like to accomplish? Save time on cooking chores Weight Loss Reduce Inflammation Eating Healthier and Cleaner Elimination Diet Adrenal Fatigue Reduce Sugar Intake Reduce Salt Intake Detox and Cleanse Count Macros Increase Protein Intake Follow my nutritionist's diet plan Other Do you have any allergies/food aversions? Please list all ingredients you or your family members can NOT have or do NOT want me to use in cooking. * What are your favorite ingredients, type of meals and cuisines? * When is your ideal start date? * Is there anything else you'd like me to know? How did you hear about Eat Plants Elevate? * Search Engine Facebook Instagram Linked In Referral (please name the person, I'd love to thank them!) Other Thank you so much for your interest in personal chef meal prep services.To discuss further details and for me to provide you with a custom quote, please schedule a Free 25-minute Call.Book your Intro Call