DR. RUTH CAN HELP YOU...
RELIEVE Your DISTRESS and
ACHIEVE More SUCCESS!

o Overwhelmed? o Stuck? o Sad? o Lonely?
o Stressed? o Procrastinating? o Blocked?
o Angry? o Depressed? o Anxious? o Other?

FREE CONSULTATION! Plus...
Only $39 for Your First Personal Growth & Prosperity Coaching / Short-Term Holistic Counseling Session ($150 value) by phone or in person! Call* Toll Free 1-888-223-1485 (USA) or Call
San Diego (619) 275-2775 to talk directly with me, Dianne Ruth, PhD. Please call between 10 am - 9 pm Pacific Time / 7 days including holidays.

Personal Growth & Prosperity Coaching /
Short-Term Holistic Counseling

Name

Date

ARE YOU READY FOR
PERSONAL GROWTH and PROSPERITY COACHING/
HOLISTIC COUNSELING?

INSTRUCTIONS: Print this form out by clicking on your browser printer. Circle the number that comes closest to representing how true the statement is for you right now. Then, score yourself, using the key at the bottom of the page.

This self-assessment tool will assist you and your personal growth and prosperity coach/holistic counselor to discover how ready you are at present for this service.

Less True				More True
1	2	3	4	5	I tend to be punctual and available for all appointments.
1	2	3	4	5	The timing is right for me to be coached/ holistically counseled.
1	2	3	4	5	I am ready to do the work that my personal growth and prosperity coach/holistic counselor suggests.
1	2	3	4	5	I am good about keeping my word.
1	2	3	4	5	I am willing to be open to new ideas.
1	2	3	4	5	I will be honest and truthful with my coach/ holistic counselor, and request that my coach/holistic counselor do the same with me.
1	2	3	4	5	If I am not getting my expectations met, I will speak up and share this with my personal growth and prosperity coach/holistic counselor.
1	2	3	4	5	I agree to change any self-limiting attitudes or behaviors which interfere with my health, happiness and success.
1	2	3	4	5	I am comfortable paying for personal growth and prosperity coaching/holistic counseling, and view it as a valuable investment in my life.
1	2	3	4	5	I am the type of person who can share the credit for my success with my personal growth and prosperity coach/holistic counselor.
__	__	__	__	__	TOTAL SCORE (add up all the numbers)
					SCORING KEY
			10	- 20	Not ready right now for personal growth and prosperity coaching/holistic counseling
			21	- 30	Ready for personal growth and prosperity coaching/holistic counseling, but make sure ground rules are honored
			31	- 40	Ready for personal growth and prosperity coaching/holistic counseling
			41	- 50	Very ready for personal growth and prosperity coaching/holistic counseling; ask your coach/holistic counselor to demand a lot from you!

Traditional psychotherapy only has a 20 percent success rate. I have a 92 percent success rate, and over 33 years experience.

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I honor your race, religion, culture, and way of life. I welcome adults in consensual, sane and safe, alternative sexual lifestyles from the gay, lesbian, bisexual, questioning, trans-, BD/SM, fetish, swinging, and other communities including individuals from the industry of sex workers.

Website: http://www.dynamicresources.net
Email: DrDianneRuth@DynamicResources.net

The designated contact and principal office responsible for this website is:
Dianne Ruth, PhD
Dynamic Resources International™

Mission Bay Professional Building
4295 Gesner St., Suite 3C
San Diego, CA 92117-6663 USA

Toll Free 1-888-223-1485 USA
San Diego direct (619) 275-2775

*Calls are welcome between 10 am - 9 pm Pacific Time / 7 days
including holidays

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Personal Growth & Prosperity Coaching / Short-Term Holistic Counseling

Name

Date ARE YOU READY FOR PERSONAL GROWTH and PROSPERITY COACHING/ HOLISTIC COUNSELING?

Personal Growth & Prosperity Coaching /
Short-Term Holistic Counseling

Date

ARE YOU READY FOR
PERSONAL GROWTH and PROSPERITY COACHING/
HOLISTIC COUNSELING?