Client Name *

First Name

Last Name

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Preferred Start Date

MM

DD

YYYY

Reheating Preferences *

CHECK ALL THAT APPLY

Microwave

Oven / Convection Oven

Air Fryer

Meal Packaging Preference *

Family-Style

Individually Packaged

Mix of Both

What preferred styles of eating does your household follow?

Choose as many as apply—we’ll clarify individual preferences during onboarding.

Adventurous / Chef's Choice - Open to new flavors, cuisines, and creativity

Balanced / Healthy - We like a variety of proteins, grains, and vegetables

Family Friendly + Comfort - Kid-friendly, familiar flavors, not too adventurous

Gluten-Free - All meals made without wheat, barley, or rye (safe for gluten sensitivity or celiac

Vegetarian - Lots of vegetables, occasional dairy/eggs, no meat

Vegan - Entirely plant-based meals with no animal products (no meat, fish, dairy, or eggs)

Pescatarian - Primarily seafood and plants, no meat

Mediterranean - Olive oil, fish, legumes, vegetables, grains

Low Carb - Meals focused on protein and vegetables with limited grains, pasta, or bread

Keto - Very low-carb, high-fat meals designed to keep the body in ketosis (includes cheese, butter, oils, proteins, and vegetables

Paleo - Meals based on whole foods our “ancestors” might have eaten—meat, fish, vegetables, fruits, nuts, and no dairy, grains, or legumes

Other

Are there any food allergies in your household?

Choose as many as apply—we’ll clarify individual preferences during onboarding.

Gluten / Wheat

Dairy / Lactose

Egg

Soy

Peanuts

Tree Nuts

Shellfish

Fish

Sesame

Corn

Nightshades

Legumes

Other