Nutrition and Fitness Center

Individual Counseling
Weight Loss Essentials
Group Sessions
Note: Group session participants will first meet individually with a Registered Dietitian.

* First Name:

* Last Name:

Gender:

University ID#:

U

Age:

* Email:

* Phone:

Campus Address:

Availability:

Morning
Afternoon

Monday
Tuesday
Wednesday
Thursday
Friday

Nutrition Interests/Concerns:
(check all that apply)

Weight Loss
Cholesterol Management
High Blood Pressure
Diabetes Mellitus or Pre-Diabetes
Disordered Eating Practices / Eating Disorder
Gastrointestinal Disorder
Sports Nutrition
Polycystic Ovary Syndrome
Celiac Disease/Gluten Free Diet
Food Allergies and Intolerances
Iron-Deficiency Anemia
Vegetarian or Vegan Meal Planning
Healthy Meal Planning
Other

Additional Information:

Registration

BU Students