CLIENT QUESTIONNAIRE - COOKS / CHEFS/ FOOD SERVICE SUPERVISOR

FILE NUMBER : ________________________________ OFFICE ONLY

Date:

First name:
Last name:
Phone number:
Email address:
Current Mailing address:
Age:

ENGLISH
Can you speak English? (Answer Yes or No):
Did you take English Classes? (Answer Yes or No):
What are all the languages you can speak?

What is your marital status?

How many children do you have?

What is your country of origin?

What is your current country of residence?
What is your country of citizenship (passport)?

Have you been to Canada before? (Answer Yes or No):

Have you applied for a Refugee Claim Status before? (Answer Yes or No. if you answer yes, was it
approved or refused?):

Were you ever deported from Canada? (Answer Yes or No):

Were you ever deported from the USA? (Answer Yes or No):
Do you have Zoom account/access? (Answer Yes or No):

Let’s talk about your experience

PRIMARY PROFESSIONS

Write 0 (zero) if you do not have work experience.

How many total years of experience do you have as a cook?

How many total years of experience do you have as a chef?

How many total years of experience do you have as a sous chef?

How many total years of experience do you have as a pastry chef?

How many total years of experience do you have as a pastry baker?

How many total years of experience do you have as a bread maker?

How many total years of experience do you have as a dishwasher?

Do you have food handler’s certificates? (Answer Yes or No):

Do you have health and safety certificates? (Answer Yes or No):

Do you have background in catering? (Answer Yes or No):

Please write YES beside each item you can prepare.

Western East Indian Chinese

Steaks Tandoori Mexican

Chicken Sweets Afghan

Ribs Breads Pizzas

Hamburgers Asian Seafood

Greek Japanese Lobster

Italian Korean Shrimp

Scallops Dinner Pastries

Mussels Soups Desserts

Breakfast Salads

Lunch Sauces

How many is the seating capacity of your restaurant? (Maximum for present or previous restaurant
you have worked for):

Have you ever supervised a kitchen staff? (Answer Yes or No. If you answer yes, please provide the
number of staff members you have supervised):

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SECONDARY PROFESSIONS

Write 0 (zero) if you do not have work experience.

How many total years of experience do you have as a hotel manager?
How many total years of experience do you have as a desk manager?
How many total years of experience do you have as a room service manager?
How many total years of experience do you have as a banquet manager?
How many total years of experience do you have as a housekeeping manager?
How many total years of experience do you have as a food and beverage manager?
How many total years of experience do you have as a bartender?
How many total years of experience do you have as a waiter?