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IIMK Questionnaire
Name:
*
Address:
*
City:
*
State:
*
Zip Code:
*
Phone:
*
E-Mail Address:
*
Fax:
Persons in your household?
(list children separately)
Age of children?
How did you hear about us?
How many nights a week do you eat out / order in?
Who does the cooking now?
What time do you come home?
How long can you / will you spend in the kitchen?
Do you cook alone?
Who cleans up?
Who does the food shopping?
Do you like to go food shopping?
How often do you food shop?
Do you use a list?
How do you rate your knowledge of fresh produce?
How do you rate your knowledge of fresh meat / fish?
Approximately, what do you spend on groceries per visit?
Do you have an additional refrigerator?
How often do you entertain?
When you entertain, how many people do you usually have?
When you entertain, are you more casual or formal?
Do you have any cookbooks? If so, please list:
Of the cookbooks listed, which ones do you use most often?
Please give an example of an average weeks dinner:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
With your main course, do you serve:
Salad
Veggies
(if yes, how many)
Dessert
Other
Do you have any allergies?
Are there any foods you are turned-off to?
What is your favorite dinner(s)?
What is your favorite cuisine?
What is your favorite pasta?
What is your favorite dessert?
What is your favorite holiday meal?
Would you like to entertain for the holidays?
How do you rate your knowledge of cooking utensils?
How do you rate your knowledge of kitchen appliances?
Do you have a BBQ?
Would you use it during the colder months?
Additional Comments:
* = required field
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