Apply to work with

Margaret, Registered Dietitian Nutritionist

First name

Last name

Email

Phone

What program are you most interested in?

Have you worked previously with a registered dietitian?

Yes

No

If yes, what was your experience like?

What are some of the goals you hope to achieve while working with Margaret, RDN?

Have you tried traditional/fad diets before? If so, please list below what you have tried in the past and what the outcome was.

Do you have a previous diagnosis of an Eating Disorder (anorexia nervosa, bulimia, ARFID, etc.)?

Yes

No

Do you consider yourself to be an emotional eater, stress eater, or binge eater?

Yes

No

Not quite sure

On a scale of 1-10, how ready are you to commit to changing your relationship with food and body forever?