You are on page 1of 2

FOOD CLARIFICATION

FOOD EAT NOT EAT

Beef

Pork

Chicken

Mutton

Fish

Shell Fish

Cheese

Milk

Yogurt

Butter

Eggs

Honey

White Sugar

Bread

Sea Weed (Kelp, Alga)

Soup stock made from fish or meat

Tofu (soybean curd)

Other

CLARIFICATION
Yes No
Can you bring your own computer?

Do you prefer non-smoking room?


Do you currently take medicine for
treatment?
Is this a first time to visit Japan?

Country
Please put an X in the box where applies.
Please write about food restrictions and allergies.
This is not to ask about your likes and dislikes.

NOTE

EXPLANATION

Name

You might also like