Kitchen Queen - Cookery Lessons In Your Own Home Gift Vouchers Available - the perfect pressie!

Initial Consultation Form

The questions below are designed to help us get an idea of what you would like to get out of your session with Kitchen Queen, and what kind of menu/dishes would be most suitable to cook during your session.

Please complete this form. If you have any questions at all then please do not hesitate to call 07967 620317.
Name :*
E-mail :*
Phone number :
Address :
Post Code :*
Address where lesson will take place (if different from above)
Address :
Post code :
How many people do you usually cook for?
Adults (16 years+) Infants (2 - 10 years)
Children (10 -16 years) Babies
Where do you usually do your food shopping?
Roughly, what is your food budget per week for   your household/those you cook for?
How often are you at home in the evenings to eat usually?
Once a week Twice a week Three times a week Four times a week
Five times a week Six times a week Seven times a week NEVER!
How often do you usually cook per week?
Once a week Twice a week Three times a week Four times a week
Five times a week Six times a week Seven times a week NEVER!
Please list any special dietary
requirements you need to take into
consideration when cooking (for you or
those you usually cook for) e.g.
vegetarian, wheat-free diet, etc
Please list any food dishes/ingredients that you ‘love’ or equally ‘hate’ – this will help in deciding what to cook during your session. If you’d love to be able to cook something, put it in the “love” column and we’ll see what we can do!
Love Hate
Eg. Profiteroles, Lamb, Garlic, Eg. Asparagus, Prawns, Lasagne
What currently worries you most about cooking/prevents you from doing more in the kitchen?
(please rank 1 = not a worry, 5 = a big worry!)
  1 2 3 4 5
I’m worried about not knowing when things are cooked properly!
Food shopping – I don’t have time to go/I hate it
I’m not very good at getting timings right – it gets stressful
Cooking for others/a bigger group frightens me
I don’t really know what to put together/which ingredients to use
The time it takes – I haven’t got much time
Other things that keep you away from your kitchen:
What do you primarily want to gain from your session/s?
(please rank 1 = not important, 5 = extremely important)
  1 2 3 4 5
To improve my confidence
Learn how to cook specific dishes – perhaps for a special occasion
Improve my planning/timing when cooking
To have fun (I am doing this more for the experience)
To get some new ideas for every day cooking
To improve my basic skills/to get a foundation of how to cook
Other things you are looking to gain from the session/s:
Please add any other notes/requests
here that will help us to make sure you get as much from your lesson as possible!

Because we take the safety of our ‘Kitchen Queens’ seriously, please kindly provide details of 2 people who know you on a personal level, and who would be happy to potentially provide you with a character reference. Thank you in advance for your understanding of this.
Name 1: Name 2:
Tel. No: Tel. No:
E-Mail: E-Mail:
Relation to you: Relation to you:
I have read and agree to the terms and conditions.
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