Food Survey

Name (required)

Email (required)

Room Number

Are you a vegetarian?

Do you have any allergies?

Are you concerned with healthy eating? If Yes, What things specifically?

What things do you like to have for snacks?

What are your favorite breakfast foods?

What are your favorite lunch foods?

What are your favorite dinner foods?

Do you have a favorite Ethnic food?

What is your favorite “Comfort Food”?

Are there any foods that you won’t eat?

What foods and snacks would you like to have offered regularly?

Is there anything else you would like us to know about your eating habits?

Please verify the letters and numbers shown below.