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Intake form
Help us serve you better
Name
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What type of meals are you interested in?
Please select at least one option.
Eats for Elders
Eats for Busy Professionals
Eats for Families
Eats for Fitness Enthusiasts
Eats for Special Diets
Eats for Students
Eats for Foodies
Do you have any dietary restrictions?
Please select at least one option.
Gluten-Free
Dairy-Free
Nut-Free
Vegan
Vegetarian
Keto
Paleo
How many meals do you typically order per week?
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1-3
4-6
7-10
More than 10
What is your preferred method of meal delivery?
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Home Delivery
Pickup
Curbside
What is your age group?
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Under 18
18-30
31-50
51-70
Over 70
Would you like to receive nutrition education resources?
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Yes
No
What is your primary goal for meal prep?
Please select at least one option.
Healthier Eating
Weight Loss
Convenience
Saving Time
Trying New Recipes
How did you hear about us?
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Social Media
Friends/Family
Search Engine
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