Restaurant allergy reservation note form

An existing reservation may need a conversation with the kitchen before the guest arrives. This note links optional food allergy or dietary information to the reservation date and time. It asks guests to share only their own relevant needs and includes consent for using that information to prepare for the visit. Staff must review the note and discuss what the kitchen can accommodate; the form cannot guarantee an allergen-free meal or prevent cross-contact.

Opens as an editable form in your dashboard. If you're not signed in yet, you'll sign in or create an account first.

This template is a starting point, not legal advice. Check the questions, the consent text and how long you keep the answers against the data protection rules that apply to your practice.

Live previewNothing is sent

Loading preview…

Try the fields: this preview doesn't send or store anything. The form you create works the same way and emails each response to you.

What's in this template

Every field can be renamed, reordered, made optional or removed in the form builder.

  • Full nameShort answer · Required
  • Phone numberPhone · Required
  • EmailEmail · Optional
  • Reservation reference (optional)Short answer · Optional
  • Reservation dateDate · Required
  • Reservation timeShort answer · Required
  • Food allergies or dietary needs (optional)Long answer · Optional
  • ConsentCheckbox · Required

How to use this template

  1. Open it in your dashboardSelect “Use this template”. If you don't have an account yet, sign up first; the form opens right after.

  2. Make it yoursChange the questions, options, colours and the thank-you message in the form builder, then save.

  3. Share it and get responsesShare the form's link or link to it from your website. Each response is emailed to you and saved in your dashboard.

Tips for this form

  • Send this link to guests who want to discuss dietary needs for a reservation they already hold.
  • Ask the kitchen to review notes before the visit and speak directly with the guest about what can be accommodated.
  • Add your privacy notice and retention period; avoid collecting medical records or other guests’ health details.

Running a business like this? See how Zotview sets up the website, booking and forms for Restaurants.

Zotview for Restaurants

Questions about this template

Does this note book a table?

No. It adds a request for discussion about dietary needs to an existing reservation. Staff should match the date, time and contact details to the booking themselves.

Does submitting an allergy note guarantee a safe meal?

No. The form cannot assess ingredients, kitchen practices or cross-contact. The guest must speak with staff before ordering, and the team must explain what it can accommodate.

Why is there a specific consent checkbox?

Food allergies and some dietary needs may reveal health information. The checkbox explicitly covers storing and using those details for the restaurant visit; review the wording and privacy arrangements for your business.

Related templates

  • Feedback surveyRestaurants & cafés

    Restaurant feedback survey

    Guests rate food, service and atmosphere and tell you what to keep and what to change.

  • Job applicationRestaurants & cafés

    Restaurant job application form

    Candidates apply for service, kitchen or bar roles with their availability, start date and experience.

  • Order requestRestaurants & cafés

    Catering order request form

    Collect chosen dishes, quantities, headcount and collection or delivery details before confirming a catering order.

  • Contact & enquiryRestaurants & cafés

    Restaurant supplier contact form

    Give food, coffee, packaging and equipment suppliers a place to introduce their products and delivery area.

All form templates
Zotview form builder

Start with this form, change anything later

The template opens in the form builder, where you can edit every question and choose who receives the responses.