1. Have you ever heard of the personal chef industry before?
	Yes No Not sure

2. If yes, where did you learn about it?
	Flyer/Brochure Newspaper, Magazine,etc TV, Radio Friend Online

3. Do you enjoy cooking?
	Yes No Occasionally

4. Do you have time to cook?
	Yes No Occasionally

5. How often do you shop for groceries to prepare your meals?
	More than once a week Once a week Twice a month Monthly Never

6. How many times a month do you eat tv dinners?
	1-4 times monthly 5-10 times monthly more than 10 times monthly Occasionally Never

7. How often do you pick up fast food or have delivery?
	More than once a week Once a week Occasionally Never

8. About how often do you go out to eat dinner?
	1-2 times a week 3 or more times a week Occasionally Never

9. Which type of foods do you enjoy most?
	Comfort foods Gourmet foods Ethnic foods Vegetarian/Vegan foods Dietary specific(s)

10. How did you access my website?
	Find A Chef link TV, Radio Newspaper Flyer other (referral, search engine)

11. If wanting to use a personal chef service, who would it be for?
	Yourself Family member Friend Other

12. Would you like a personal consultation?
	Yes No Undecided

Name:
Email: