Food Preference Questionnaire

Please take a moment to complete this preference questionnaire. The answers from this form will help OCC create and customize a menu plan for any tastes, diets or personal needs.

What's Your Name? What's the best way to contact you? Email: Phone: List any food allergies: How would you describe your eating philosophy? (select one) Omnivore Vegetarian Vegan Kosher Macrobiotic No Red Meat No Pork and/or Shellfish Fish Only Chicken Only Meat Only   Are you currently on any specific diet? Yes No If Yes, which one? And how long? Would you like to see healthy meals incorporated into your weekly meal plan? Yes No Please rate your preference to the following foods and flavors from a scale of 1 to 10. (1 being you Hate it to 10 being you Love it) Description 1 2 3 4 5 6 7 8 9 10 Beef Pork Chicken Turkey Lamb Fish Shell Fish Duck Rice Potatoes Leafy Green Vegetables Fresh Vegetables Pasta Peppers (hot) Onions Southwest Flavors Asian Flavors Indian Flavors Italian Flavors Cream Based Foods (including sauces) Fried Foods Breads Country Style/Soul Foods Bar-B-Que Beans Added Milk, Cream, Butter, & Cheese Tofu/Tempeh/Seitan Nuts Ok, last chance to let us know exactly what you would like to never see on a menu and what you would like to see often. Also use this space to make any comments from the scale above:

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