Dietitian Forms

9 Templates

Collect and manage patient intake and dietary information with Jotform’s powerful Dietitian Forms. Choose one of our readymade form templates below based on your needs — whether it’s a BMI calculator, patient or eating habits questionnaire, nutrition diary, or calorie counter. Need to make some changes to your form? With our drag-and-drop form builder, you can easily add form elements, choose fonts and colors, upload images, edit text fields and checklist items, and much more. Patients can fill out your form from any device and submit their responses online, which are then stored in your secure Jotform account for ease of access. Help your patients achieve their dietary goals with these free Dietitian Forms.

BMI Calculator

Here is a BMI Calculator which collects submitter name, age, gender information with their height and weight measurements and provides them with their body measurement index and body type information.

Calculation Forms

Dietary Restrictions Form

Gather important dietary information online for your institution’s cafeteria. Easy to customize, embed on any website, and integrate with third-party apps.

Healthcare Forms

Dietitian Patient Questionnaire

Here is a Dietitian Patient Questionnaire that allows for new patient enrollment through collecting their personal and contact information with a detailed medical history and nutrition habits.

Patient Registration Form Templates

Nutrition Diary Form

Track your food intake and diet with a free Nutrition Diary Form.

Tracking Forms

Diet Consultation Form

Help an individual achieve their nutrition and diet goals by having them complete this Diet Consultation Form. This form can be embedded on any webpage using different types of publishing methods.

Evaluation Forms

Eating Habits Questionnaire

Free questionnaire for nutritionists or researchers. Easy to customize and fill out on any device. Keep information secure and confidential. No coding required.

Questionnaire Templates

Healthy Eating Survey

A healthy eating survey is a questionnaire used by dietitians and nutritionists to collect information about their clients’ eating habits.

Survey Templates

Calorie Count Form

A calorie count form is a nutrition survey used by health and fitness experts to study the diet of their patients. Whether you’re a personal trainer, dietitian, or nutritionist, use this calorie count form to track the calories.

Healthcare Forms

Food Consumption Survey

A food consumption survey is used by dietitians to measure the frequency and amount of fast food consumed by a patient.

Survey Templates