| How
did you hear about us? |
|
| Why
are you interested in a home meal delivery service? |
|
| How
often do you eat dinner at restaurants per week? |
|
| How
often do you eat fast food for dinner per week? |
|
| What
types of cuisine do you enjoy? |
|
| Which
one of the following benefits is most important to you? |
|
| Are
you or any family members currently on a special diet? |
|
| What
is your age? |
|
| How
many adults are in your household? |
|
| How
many children are in your household? |
|
| What
is your total household income? |
|
| What
is your occupation? |
|
| What
do you enjoy doing in your free time? |
|
| Which
are your favorite local sports teams? |
|
| What
magazines do you read? |
|
| Would
you like more information about our Corporate Catering services?
|
Yes
No |
| How
soon do you plan to start service? |
|
|
|
| Name: |
|
| Address: |
|
| City: |
|
| State: |
|
| Zip: |
|
| Phone: |
|
| Email: |
|
| Service
Suggestions: |
|
| Would
you like to receive our weekly menu via email? |
Yes
No |
|
|
