Functional Nutrition Coaching Application
Name
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First Name
Last Name
Phone Number
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Country Code
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Area Code
Phone Number
Email
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IG Handle (if applicable)
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How did you find out about Radiant Health Mastery?
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Instagram
Masterclass
Referred by a Friend
Other
What patterns or symptoms are keeping you from feeling your best? (check all that apply)
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I’m tired when I wake up & wired at night
My labs keep coming back “normal,” but I don’t feel normal.
I feel bloated, puffy, and inflamed—despite trying to eat clean and working out.
My skin flares up with acne or breakouts—especially around my cycle
No matter what I try, belly fat just won’t budge.
I feel like I’m stuck in a cycle of fatigue, mood swings, and low motivation.
My cycle is a rollercoaster of cramps, mood swings, and fatigue.
I’ve outgrown the DIY route—I’m ready for expert support and real strategy
I’ve tried cutting out foods, tracking workouts, and managing stress—but nothing seems to stick.
I’ve been offered birth control, metformin or Spironolactone or antidepressants as the only “solution”—but I really want to heal my symptoms at the root.
What are you here to claim in this next chapter? (Check all that apply)
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Consistent, reliable energy—without heavy reliance on caffeine or collapsing by 3 PM
A calmer nervous system that lets me feel grounded—not reactive or overstimulated
I crave a strategy based on my own lab data — not another generic plan
Hormonal balance that brings regular, less symptomatic cycles
A body I feel confident in—with less inflammation, bloat, and stubborn fat
Clearer skin and better digestion that doesn’t sabotage my confidence or plans
Sharper focus and mental clarity, without the constant fog or fatigue
A personalized approach to nutrition, movement & lifestyle that actually works for my body
Accountability, coaching, and a sisterhood to help me stay consistent
I want to feel like myself again—and even better than before
I’m ready to operate from a place of power, not depletion
I want to break the cycle of burnout and build sustainable, aligned momentum
Which statement describes you best? I want...
A FREE 15 minute call with Leslie for guidance on which service best fits your needs.
Group Coaching - For the woman ready to stop guessing and finally heal her hormones — with expert guidance, functional testing, and sisterhood that keeps her rising. (Starting at $3999)
1:1 VIP Private Coaching - For the woman who wants the accelerated path to healing, close-proximity access to Leslie for guidance, full-spectrum functional lab testing for answers and rapid lasting results. (Starting at $6999)
Which statement describes you best?
I'm ready to start yesterday, and I'm ready to make the investment into my health now.
I'm not ready to start my healing journey yet, but I'm curious about what my options are.
I'm ready to start now but need to understand what payment options are available.
Is there anything else you’d like for Leslie to know about your application?
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