KITCHEN PLANNING

FORM 3: Checklist for Kitchen Activities [CLIENT CHECKLIST]

Instructions: Review the list of activities in each section. If it is an activity that you do, or want to do in the kitchen, place a check in the first column. Then check the appropriate location and frequency columns. Extra lines are left in each section for you to add activities as needed.

Food Preparation, Cooking, and Serving Activities
 / Activity / Location / Frequency
Sink
/
Cooktop
/
Oven
/
Microwave
/
Refrigerator
/
Prep Area
/
Other
(Specify)
/ Often /
Sometimes
Bake: bread
Bake: foods made from mixes
Bake: foods made from scratch
Bake: frozen prepared foods
Broil foods
Can food: for preservation
Chop, carve, and slice foods
Cook: breakfast
Cook: dinner
Cook: lunch
Deep fry foods
Dehydrate foods: for preservation
Entertain:
cook and serve meals for guests
Entertain: guests help cook
Entertain: pot luck/shared meals
Freeze food: for preservation
Freeze food:
large quantity meals for later use
Freeze food: leftovers
Fry foods
Grill foods: indoors
Grill foods: outdoors
Hire a caterer:
serve foods prepared elsewhere
Hire a caterer:
prepare foods in your kitchen
Food Preparation, Cooking, and Serving Activities
 / Activity / Location / Frequency
Sink
/
Cooktop
/
Oven
/
Microwave
/
Refrigerator
/
Prep Area
/

Other

(Specify)

/ Often /

Sometimes

Make Candy
Pack lunches or food to be eaten away from home
Prepare: drinks
Prepare: foods from complex recipes
Prepare: foods on a griddle
Prepare: foods with specialty ingredients
Prepare: fresh produce
Prepare: frozen convenience foods
Prepare: full meals
Prepare: items using a rolling pin
Prepare: kosher, halal or similar foods
Prepare: pre-packaged convenience foods
Prepare: snacks
Prepare: vegetarian meals
Reheat foods in microwave
Reheat foods in oven
Roast meats
Serve drinks
Serve food: buffet style
Serve food: family style
Serve food: individual plates
Serve food: carryout orders
Slow cook or simmer foods
Stir fry foods
Other activities:
Clean-up and Waste Management Activities
 / Activity / Location / Frequency

Sink

/

Cooktop

/

Oven

/

Microwave

/

Refrigerator

/

Prep Area

/

Other

(Specify)

/ Often /

Sometimes

Air dry dishes or utensils
Compost food waste
Recycle: collect in kitchen
Recycle: not in kitchen
Recycle: sort in kitchen
Rinse dishes or utensils
Soak dishes, pans
Stack dishes or items for later washing
Trash: collect in kitchen
Wash dishes: dishwasher
Wash dishes: by hand
Wash pots and pans: dishwasher
Wash pots and pans: by hand
Other activities:
Other Activities that Occur in the Kitchen
 / Activity / Location / Frequency

Sink

/

Cooktop

/

Oven

/ Microwave / Refrigerator / Prep area / Other
(Specify) / Often / Sometimes
Food Related Activities:
Eat meals
Eat snacks
Drink beverages
Plan meals
Take vitamins, medicines
Other:
Household Management Activities:
Homework/schoolwork
Laundry: air dry
Laundry: hand wash
Laundry: machine wash
Laundry: sort, fold
Paperwork, pay bills
Pet feeding, care
Polish shoes
Sort mail
Use a computer
Other:
Other Activities that Occur in the Kitchen
 / Activity / Location / Frequency

Sink

/

Cooktop

/

Oven

/ Microwave / Refrigerator / Prep area / Other
(Specify) / Often / Sometimes
Relaxing and Recreation:
Computer games
Crafts
Display collections
Grow plants
Listen to music
Nails: clip, file, polish
Reading:
newspaper, magazines
Reading: books
Sewing
Watch television
Other:
Social Activities:
Conversations with family, friends
Entertain
Play with children
Talk on telephone
Other:
Other Activities: