Personal Stumbling Blocks.
This checkbox list can help you to identify
any negative feelings and behaviors that may be keeping you blocked or
stuck in old unwanted responses.
Test Yourself: Are you Ready for An Amazing Life?
This self-assessment quiz will help to
how ready you are for my services.
"Stumbling Blocks" Into Personal Growth by "Building Blocks" FOR
This worksheet with checkboxes will help to isolate
old beliefs that stop you from reaching your full potential.
By going over this
checkbox list, you can choose the items that you would like to address during our
completing this form, you will be able to safely address any
issues--whenever you are ready.
VERY IMPORTANT NOTE: If you are
struggling with one or more of the different forms of anxiety, panic and/or depression,
please complete the relevant
Worksheets for Assessing Mood Disorders
below and also
them to me along with your other FIRST session forms. The
more I know about you, the more help I can give you.
For more information, go to
my articles on,
14 Types of
Causes of Anxiety.
Panic Attacks (and Agoraphobia)
Go to my article on
14 Types of Anxiety
for more information on Panic Disorders.
Phobic, Scared or Fearful?
Assessing Your Fears List.
More about phobias are discussed in my article,
Types of Anxiety.
Click or tap on
Warning Signs of Depression
to read this article.
Please return the
completed paperwork to me prior to your first phone session. If your
first session is in person, you may bring it in with you.
The following guides are to be reviewed, completed and turned in by your
What to Talk About With Your Life Coach & Alternative/Holistic Counselor
Your Life Story and
Wheel of Life
will be asked for by your
You may also download the
Wheel of Life Exercise, Blank to do
a more in-depth self-assessment.
There may be other forms below that are relevant to
your concerns. Please add them to your downloads.
The more information you
share with me, the more I can do for you!
The forms may be scanned and emailed to me as an image file,
PDF file or snail-mailed.
MORE FORMS, ARTICLES, AND
Make your selections according to your interests as you progress through
your Life Coaching & Alternative/Holistic Counseling Program
Review in the following order:
Are you predominantly visual,
Discover your primary method for
mentally processing information.
The Secret Language of Verbal Communication.
article will explain what processing means to you.
for Creating Instant Rapport.
This list of visual,
auditory and kinesthetic words will give you an easy to use reference
for "seeing eye to eye with," "getting on the same page as," or "getting
in tune with," another person.
PERSONAL GROWTH WORKSHEETS
gives a list of words that describe positive and negative emotions. It
can help you find ways to express your feelings more accurately.
Are You Highly Sensitive?
Take this quiz.
You might need to learn how to thrive in an overwhelming world....
Wheel of Life
This chart gives you a place to visually track major areas in your life,
and to determine where more balance is needed.
Wheel of Life
On this chart, you can fill in and track the areas you choose.
The First Step.
What are the energy drainers in your
life? List them on this work sheet and get them resolved in session.
What to Talk About With Your
Life Coach & Alternative/Holistic Counselor During Your Session. Here is a guide for staying on track
with the issues in your life and getting them settled.
Writing Your Life
Story is Really Very Easy.
Our lives follow many tracks at the same time.
For instance, we can do a time line on our relationships, our jobs, and
our hobbies as they evolve over the years.
This short instruction sheet gives you directions on how to organize
your thoughts and experiences into an autobiography of your life.
Your Life Story.
This form provides you with a starting
point for creating your life story. Before beginning, read the above
instruction sheet, "Writing Your Life Story is Really Very Easy."
Techniques) INSTRUCTIONS and WORKSHEETS
EFT Basic Shortcuts.
You will usually
start with this version of EFT because it is so simple to
learn, and quickly provides impressive results.
EFT Full Instructions.
This version is for the client who is seeking a
more effective and
advanced way to
work with EFT.
SUDS (Subjective Units of
Raising Your Metabolism
(or Immune System) with EFT. This is a simple treatment plan that targets a specific concern.
EFT Drama Words. To take your EFT experience to the next
level, consider empowering your set-up statements with "Drama Words."
These three pages are copied
from the book, EMDR: A Closer Look. They give a brief explanation of
the EMDR procedure, what it treats, and what it can do for you.
Bach Flower Remedies Can Help You.
There are 116 questions
with check boxes
in this questionnaire that are designed to
you identify areas of stress in your
Many people are acquainted with the well known Bach Flower Rescue
Remedy. There are a total of 39 more remedies available for treating
These pure liquid tasteless remedies are made from
flower essences, are completely safe, and support the individual by
correcting emotional upsets, and stimulate the potential for
After you have completed, "Flower
Remedies Can Help You," I will review the answers with you.
then teach you how to muscle test yourself for selecting the appropriate
remedies for the conditions you have indicated.
I do not sell or provide these products; however, with the information
we gather, you can then make suitable purchases from the health food or
vitamin store of your choice.
How to Use Bach Flower Remedies.
This is an extremely handy 6-page
instruction manual. It tells you the many different ways you can use the
it describes how to use them and what to expect. In addition to
yourself, you can use them on plants, pets, animals, children, adults,
Clues to Recognize Abuse" Checklist.
Are you confused about whether
you are really experiencing emotional, physical or sexual abuse?
can help you to evaluate your experiences.
This information can
apply to all women and men, young and old.
The program includes an action packed, 60-page book
filled with powerful, easy to use, simple techniques for successful
elimination of the smoking habit. It can also be effectively used for
When combined with my Magical Toolbox
and coaching support,
your success with making life-altering changes is assured.
Please contact me for more information on purchasing the book for
self-use, or to learn more about the program.
With Energy Therapy
This 19-page workbook contains about
250 questions to stimulate your thinking about why you have an issue
with weight gain or an inability to lose weight for good. (Most clients only check, on the average, about 25 to
40 questions as being relevant to them.)
After completing the project, in-depth coaching inquiry and exploration
of hidden agendas can help you to identify the emotional blocks to
losing weight. You will then be able to eliminate them quickly and
easily. This results in an automatically healthier Alternative.
The "Lose Weight Workbook" is based on the compulsive overeating and weight
loss protocol developed by Dr. Carol Look, EFT Master.
Tips on How to Write a POWERFUL Review That Makes YOU Look Good
This easy to
fill out form is for clients who have done work with me and are willing
to share their experience anonymously with others. I would love it if you would take
a few moments to give me your response. :o)
According to the National Institute of Mental Health,
psychotherapy only has a 20% success rate.
I have a 97%
success rate, and over 37 years experience.
I honor and respect your race, religion,
culture, and way of life including senior citizens and those with
I also welcome adults in consensual, sane and safe, alternative sexual and
other creative lifestyle choices.
The designated contact and principal office
responsible for this website is:
Dianne Ruth, CCH, PhD
Dynamic Resources International™
Anxiety Treatment & Care Doctor
DR DIANNE RUTH
1761 HOTEL CIR S
SAN DIEGO CA 92108-3318 USA
Call (619) 961-7500 California USA
Calls are welcome
between 10 am to 7 pm Pacific Time, 7 days
a week including holidays.
Confirm appointment location prior to
4295 Gesner St.
San Diego CA 92117
All contents © Copyright 1999-2018 by Dynamic
Resources International™. All Legal Rights Reserved. All copies must include
the above copyright notice and legal disclaimer in its entirety. Please see
for additional information.