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Cooking Lesson Registration Form
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Language
English (UK)
1
Your Name
*
This field is required.
First Name
Last Name
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2
Your E-mail
*
This field is required.
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3
Phone Number
*
This field is required.
Area Code
Phone Number
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4
What would you like to cook ?
Appetizers
Starter
Main course
Dessert
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5
What is your budget per person?
Less than 10 NZD / person
Less than 20 NZD / person
Less than 30 NZD / person
More than 30 NZD / person
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6
Which vegetable
don't you eat
?
Choose among the 25 following items.
Asparagus
Beans
Beetroot
Cabbage
Capsicum
Carrot
Cauliflower
Celery
Courgette
Cucumber
Eggplant
Kumara
Leek
Lettuce
Mushroom
Parnship
Pea
Potatoe
Pumpkin
Radish
Salad
Silverbeet
Swedes
Sweet corn
Tomato
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7
Which meat/fish/crustacean/seafood
don't you eat
?
Choose among the 9 following items.
Beef
Chicken
Clams
Crab
Fish
Lamb
Mussel
Pork
Shrimp/Prawn
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8
Which herb/spice
don't you eat
?
Choose among the 19 following items.
Basil
Bay leaf
black pepper
Chive
Coriander
Dill
Garlic
Ginger
Marjoram
Sage
Nutmeg
Onion
Oregano
Parsley
Rosemary
Sage
Shallot
Thyme
Turmeric
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9
Which fruit
don't you eat
?
Choose among the 17 following items.
Apple
Apricot
Banana
Berries
Cherry
Grape
Kiwi fruit
Lemon / Lime
Orange
Mango
Melon
Nectarin
Pear
Pineapple
Plum
Rhubarb
Strawberry
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10
Which dairy products
don't you eat
?
Choose among the 8 following items.
Butter
Blue cheese
Cream
Creme Fraiche
Egg
Cheese
Milk
Yogurt
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11
Which grocery ingredients don't you eat?
Choose among the 13 following items.
Baking powder & soda/yeast
Chocolate
Couscous
Dried fruits
Flour
French mustard
Honey
Nuts
Oil
Pasta
Rice
Soy sauce
Sugar
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12
To help us to build the lesson, can you please tell us what type of kitchen and cookingware do you not have.
Choose among the 12 following items.
Balloon whisk
Blending spoon
Cooktop
Frying pan
Mixing bowl
Loaf pan
Mixer
Muffin pan
Oven
Pressure cooker
Saucepan/casserole
Silicon scaper
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13
Are you ready to use some kitchenware (zester, pastry brush...) you haven't got at this moment?
YES
NO
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14
Do you cook...
1
2
3
4
5
6
7
Never
Always
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15
Do you have any comments (Food allergies, special dietary requirements...) ?
*
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