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Meal Plan Questionnaire

Fyre strives to make your dining experience extraordinary and fantastic with top quality food. We also make that happen in our pre-prepared fresh cooked meals. Meals you just re-heat and eat. Our meal prep services are available anywhere in Wichita, Kansas and other areas. Please fill out our M.P.Q. form below so we can have a gist of what you want for your meal prep meals.

Meal Plan Questionnaire

First Name*

M.I*

Last Name*

Home Address*

City*

State*

Zip*

Email Address*

Phone*

Customer ID

D.O.B.*

Height*

Weight*

Body Type

Meals Eaten per day?*

Snacks per day?*

Do you have a weight loss or weight gain goal? Y / N If so please explain*

Does your family need a meal plan? Y / N Do you have concerns about eating habbits? Y / N if so what are they?*

Do you have any food allergies? Y / N If so please list*

What are your, I refuse to eat foods? Why?*

Please list any food intolerances.*

Please list and write about your favorite food(s). What do you like about the food? How does it make you feel when you think about and eat this food?*

Please list any health conditions, and or symptoms you may have. (EX; I have COPD which gives me respiratory issues and chronic heartburn.)*

What type of Fyre Meal Plan Are you looking for? Circle*

Vegan: A vegetarian one who omits all animal products from the diet. Vegetarian: A person who does not eat meat or fish but may consume things such as eggs & dairy. Ketogenic (Keto): High-fat, adequate-protein, low carbohydrate. Paleolithic (Paleo): Also known as the caveman diet the old school way (NO PROCESSED FOOD) Fyre Homestyle: Homestyle comfort food. Fyre Cajun: Homestyle foods with a Cajun flair. Fyre Sea Moss/ Drinks: Enriched drinks infused with Sea Moss, fresh fruits, and veggies herbs, and spices.

Why are you looking to do this particular meal plan? *

How long are you willing to commit to your meal Plan?*

What are your meal Plan Goals?*

What is your meal Plan budget? *

How will one of Fyre Personal Chef’s help you in your meal Prep?*

Please list anything else you would like to share.*

Please list things that Fyre can help with your Taste, Body, Soul & Spirit.*

Chef Notes

Suggested Program

Meal Plan

Price

This will be the price without taxes for the meal plan of choice.

Discount

Enter coupon information or Redemption Code

Would you be interested in Subscription?*

Subscription services benefits: waived delivery fees, bonus meals, extra premium meal per month, Chef consult

YesNo

Would you like Delivery / Pickup *

Store Pickup location TBD

Meal Prep Order*

Your fresh meals pre-made and either delivered to your home or you may schedule a pickup location.

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Thank You for your time!

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Non-Custom Meal Prep

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Meal Plan Questionnaire

Meal Plan Questionnaire

Thank You for your time!

Want a meal prep plan ASAP?

Fyre EST 2016

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