Kitchen use
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1. Kitchen Use Survey
This survey is for the planning and development of incubator kitchens for entreprenurs planning their future cooking products for sale.
1
. What food item(s) are you or would you be interested in preparing?
What food item(s) are you or would you be interested in preparing?
Bakery Items
Catered Meals
Jams, Jellies, Syrups
Jucies, or other beverages
Other (please specify)
2
. What type of company or group do you want to be?
What type of company or group do you want to be?
Caterer
Specialty/Gourmet Food Producer
Restaruant
Value Added Farm Producer
Church/School/Civic Group
Cart/Street Vendor
Baker
Other (please specify)
3
. Is your Business Start-Up or Existing
Is your Business Start-Up or Existing
Start-Up
Existing
4
. What facilities or services are you currently using to meet your food service needs (e.g. church kitchen, rental kitchen, home kitchen, etc.)
What facilities or services are you currently using to meet your food service needs (e.g. church kitchen, rental kitchen, home kitchen, etc.)
5
. What type of equipment would you need to prepare your food product
1
2
3
4
5
Standard Range/oven
*
What type of equipment would you need to prepare your food product Standard Range/oven 1
Standard Range/oven 2
Standard Range/oven 3
Standard Range/oven 4
Standard Range/oven 5
Commercial Mixer
Commercial Mixer 1
Commercial Mixer 2
Commercial Mixer 3
Commercial Mixer 4
Commercial Mixer 5
Two Door Cooler
Two Door Cooler 1
Two Door Cooler 2
Two Door Cooler 3
Two Door Cooler 4
Two Door Cooler 5
Two Door Freezer
Two Door Freezer 1
Two Door Freezer 2
Two Door Freezer 3
Two Door Freezer 4
Two Door Freezer 5
Dish & Pot wash sink
Dish & Pot wash sink 1
Dish & Pot wash sink 2
Dish & Pot wash sink 3
Dish & Pot wash sink 4
Dish & Pot wash sink 5
Stainless Steel Prep table
Stainless Steel Prep table 1
Stainless Steel Prep table 2
Stainless Steel Prep table 3
Stainless Steel Prep table 4
Stainless Steel Prep table 5
Convection Oven
Convection Oven 1
Convection Oven 2
Convection Oven 3
Convection Oven 4
Convection Oven 5
Other
Other 1
Other 2
Other 3
Other 4
Other 5
6
. How often might you be interested in using this facility?
Hours
Start Time
Daily
Less than 4
4 to 8
8 to 16
16 to 24
More than 24
How often might you be interested in using this facility? Daily Hours
Between Midnight and 6 AM
Between 3 AM and 9 AM
Between 6 AM and noon
Between noon and 3 PM
Between 3 PM and 9 PM
Between 9 PM and Midnight
Start Time
Weekly
Less than 4
4 to 8
8 to 16
16 to 24
More than 24
Weekly Hours
Between Midnight and 6 AM
Between 3 AM and 9 AM
Between 6 AM and noon
Between noon and 3 PM
Between 3 PM and 9 PM
Between 9 PM and Midnight
Start Time
Monthly
Less than 4
4 to 8
8 to 16
16 to 24
More than 24
Monthly Hours
Between Midnight and 6 AM
Between 3 AM and 9 AM
Between 6 AM and noon
Between noon and 3 PM
Between 3 PM and 9 PM
Between 9 PM and Midnight
Start Time
Holidays
Less than 4
4 to 8
8 to 16
16 to 24
More than 24
Holidays Hours
Between Midnight and 6 AM
Between 3 AM and 9 AM
Between 6 AM and noon
Between noon and 3 PM
Between 3 PM and 9 PM
Between 9 PM and Midnight
Start Time
Occasionally
Less than 4
4 to 8
8 to 16
16 to 24
More than 24
Occasionally Hours
Between Midnight and 6 AM
Between 3 AM and 9 AM
Between 6 AM and noon
Between noon and 3 PM
Between 3 PM and 9 PM
Between 9 PM and Midnight
Start Time
Total hours per week estimated usage
7
. What type of business are you running or looking to run?
What type of business are you running or looking to run?
Part-time
Full-time
Supplemental Income
Non-profit
Hobby/gifts
Other (please specify)
8
. What is your annual sales goal?
What is your annual sales goal?
Less than $5,000
$5,000 to $20,000
$20,000 to $50,000
$50,000 to $100,000
More than $100,000
9
. Would you be interested in leasing secured, on-site storage for equipment or product?
Would you be interested in leasing secured, on-site storage for equipment or product?
Yes
No
10
. Respondent Information
Respondent Information
Name:
Company:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Country:
Email Address:
Phone Number:
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