Questionnaire This questionnaire is used to perform an accurate analysis of your product. Please answer all questions completely and as specifically as possible.If you have any questions, do not hesitate to call us as 1-800-738-3294 or 360-306-3470. You may also download a printable form here (pdf) or here (doc). Receive a Detailed Quote1) Your InfoName First Last Company NamePhoneFaxEmail Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Please let us know how you found usi.e.: google search or yahoo, or other), what did you search for to find the services you needed (food labeling, nutrition facts, etc.)2) Your Product InfoProduct Name and Type*Please be specific when listing all of the ingredients in your product. Beside each ingredient, list the quantity used in your formula then the unit of measurement. All measurements are fine (eg: lbs. kg, oz., g.). Please send spec sheets on any processed items! This will be necessary to complete accurate analysis based on your ingredients.IngredientsExample: Unbleached Wheat Flour – Enriched | King Arthur | R | 2 lbs. 11oz. | 4%IngredientBrand NameRaw (R) or Processed (P)Quantity (based upon batch)% (Optional) 3) ProcessingIs your product processed in any way?What are the processes? (Check all that apply) Baked Boiled Steamed Canned Deep Fried Frozen Grilled Dehydrated Microwave Other Order of Process: BakedPlease number your processes in order if more than one process.Please enter a number from 1 to 10.Order of Process: BoiledPlease number your processes in order if more than one process.Please enter a number from 1 to 10.Order of Process: CannedPlease number your processes in order if more than one process.Please enter a number from 1 to 10.Order of Process: Deep FriedPlease number your processes in order if more than one process.Please enter a number from 1 to 10.Order of Process: SteamedPlease number your processes in order if more than one process.Please enter a number from 1 to 10.Order of Process: FrozenPlease number your processes in order if more than one process.Please enter a number from 1 to 10.Order of Process: GrilledPlease number your processes in order if more than one process.Please enter a number from 1 to 10.Order of Process: DeydratedPlease number your processes in order if more than one process.Please enter a number from 1 to 10.Order of Process: OtherPlease number your processes in order if more than one process.Please enter a number from 1 to 10.Please describe:Do you use a releasing agent? Yes No Please specify:Does your product gain or lose weight during your processing procedure? Yes No How much of the total weight is lost or gained during the process?In other words, subtract the pounds out from the pounds into the process. Specify pounds or kilograms.Before: Product weight into the processAfter: Product weight out of processTotal: Product weight lost during process4) Label AreaHow big is your package's available label display area?(in square inches) less than 12 sq. in. between 12 and 40 sq. in. 40 or more sq. i n. 5) Serving SizePlease see this website for reference. Opens in a new window.Have you determined serving size? Yes No Serving Size:If not, we will calculate for you based on FDA regulations! Example: 30 grams of popcorn=1/2 Cup, 1 Cookie =30 grams, 12 Chips = 30 grams, ½ Cup Ice Cream=78 grams, 2 Tbsp. BBQ Sauce= 33grams, 1Tsp. Hot Sauce=5 grams. Do NOT use these weights, they are examples only. Please weigh your product!! Bold is the FDA recommended serving size. 6) Total Product WeightTotal Product weight per package or container or number of pieces per package or container7) Label LayoutFDA nutrition labeling informationWhich layout would you like your nutrition fact label provided?One layout is included in the pricing, additional layouts are $10.00 each. Click title for example. Horizontal with footnote Horizontal without footnote Standard vertical with footnote Standard vertical without footnote Linear Horizontal simplified Vertical simplified Supplement Label CommentsThis field is for validation purposes and should be left unchanged. Δ
Your Complete Food Analysis & Nutrition Fact Labeling Source
Your Complete Food Analysis & Nutrition Fact Labeling Source