Required!
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.
Required!
Are you Ready for An Amazing Life?
This self-assessment quiz will help to
determine
how ready you are for my services.
Required!
Negative Blocks:
Turning
"Stumbling Blocks" into Personal Growth by "Building Blocks" FOR
Personal Growth.
This worksheet with checkboxes will help to isolate
old beliefs that stop you from reaching your full potential.
Required!
Holistic
Counseling Index.
By going over this
checkbox list, you can choose the items that you would like to address during our
work together.
Required!
Trauma History.
By
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
forms under,
Worksheets for Assessing Mood Disorders
below. and also
return
them to me along with your other FIRST session forms. The
more I know about you, the more help I can give you.
WORKSHEETS FOR ASSESSING
SOME MOOD DISORDERS
Anxious?
Anxiety Worksheet.
For more information, go to
my articles on,
14 Types of
Anxiety and
Causes of Anxiety.
Panicky?
Panic Attacks (and Agoraphobia)
Worksheet.
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,
14
Types of Anxiety.
Depressed?
Depression Worksheet.
Click or tap on
Warning Signs of Depression
to read this article.
Please return the
completed paperwork to me prior to your first session.
The following guides are to be reviewed, completed and turned in by your
SECOND
SESSION:
What to Talk
about with Your Life Coach and Holistic Counselor and complete,
Writing Your Life Story is Really Very Easy.
THIRD
SESSION FORMS
Wheel
of Life Exercise. 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 Exercise, blank. On
this chart,
you can fill in and track the areas you choose.
WEALTH BUILDING WORKSHEETS
Doing the check box form,
Turning "Stumbling Blocks" into Wealth by "Building Blocks" for Wealth,
is very important for identifying the emotional blocks and old beliefs
that are keeping you from realizing your desires for abundance in your
life.
Blocks to Money.
Have you ever wondered why you have not been financially
successful, or perhaps, you can make money but you cannot seem to keep
it?
S.M.A.R.T. Goals. This simple guide will help you to understand
how to set achievable goals.
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 USPS-mailed.
Top
MORE FORMS, ARTICLES, AND
INFORMATION
Make your selections according to your interests as you progress through
your Life Coaching & Holistic Counseling Program
Top
COMMUNICATION SKILLS
Review in the following order:
Communication
Inventory
.
Are you predominantly visual,
auditory or kinesthetic?
Discover your primary method for
mentally processing information. You might be pleasantly surprised ...
or maybe not!
The Secret Language of Verbal Communication.
This brief
article will explain what processing means to you.
Process Words 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.
Top
PERSONAL GROWTH WORKSHEETS
Emotional Assessment.
This paper
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....
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. Here is a guide for staying on track
with the issues in your life and getting them settled. Print a fresh
copy for each session. Add a date and your notes to the form for your
reference.
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.
The companion form provides you with a starting
point for creating your life story.
Top
EFT (Emotional
Freedom
Techniques) INSTRUCTIONS and WORKSHEETS
EFT Tapping.
You will usually
start with this version of EFT because it is so simple to
learn, and quickly provides impressive results. This instruction
includes beginning and advanced levels.
EFT Drama Words. To take your EFT experience to the next
level, consider empowering your set-up statements with "Drama Words."
SUDS
Scale (Subjective Units of Disturbance)
Raising Your Metabolism or Immune System with EFT
Tapping.
This is a simple and highly
effective treatment plan that targets a specific concern.
Top
MORE...
EMDR
(Eye
Movement, Desensitization
and Reprocessing)
EMDR and how it works
is copied
from the book, EMDR: A Closer Look. It gives a brief explanation of
the EMDR procedure, what it treats, and what it can do for you.
Bach Flower Remedies Can Help You Feel Better.
There are 116 questions
with check boxes
in this questionnaire that are designed to
help
you identify areas of stress in your
life.
Many people are acquainted with the well known Bach Flower Rescue
Remedy. There are a total of 39 more remedies available for treating
specific concerns.
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
self-healing.
After you have completed, "Flower
Remedies Can Help You," I will review the answers with you.
I
can
then teach you how to muscle test yourself for selecting the appropriate
remedies for the conditions you have indicated.
NOTE:
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
instruction and reference manual. It tells you the many different ways you can use the
flower essences.
For example,
it describes how to use them and what to expect. In addition to
yourself, you can use them on plants, pets, animals, children, adults,
and seniors.
Top
ABUSE INFORMATION
53
Clues to Recognize Abuse.
Are you confused about whether
you are really experiencing emotional, physical or sexual abuse?
This checklist
can help you to evaluate your experiences.
This information can
apply to all women and men, young and old.
Top
STOP SMOKING
The program includes an action packed,
32-page instruction manual
filled with powerful, easy to use, simple techniques for successful
elimination of the smoking habit. It can also be effectively used for
other addictions.
When combined with my Magical Toolbox
and coaching support,
your success with making life-altering changes for good is assured.
Please contact me for more information on purchasing the book for
self-use, or to learn more about the program.
Top
LOSE WEIGHT
NATURALLY
Lose Weight
Easily with Energy Therapy
- CLIENT
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.
Top
MORE...
5 Tips on How to Write a Powerful TESTIMONIAL
That Makes YOU Look Good
A quick reference for writing a simple and easy testimonial. This is a
personal letter written directly to the professional that may be
published on their website.
5 Tips on How to Write a Powerful REVIEW
That Makes YOU Look Good
This guide is for writing a
review about Dr. Ruth that may be published on another website
such as Yelp.
Testimonial
Release Form.
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)
Top
●
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.
● 
THIS IS AN ALL INCLUSIVE
WELCOMING PRACTICE
I honor and respect your race, religion,
culture, sexual orientation and way of life including senior citizens and those with
disabilities.
I also welcome adults in
consensual, sane and safe, alternative sexual and other creative lifestyle
choices including those in the LGBTQ+ community.
Confirm
appointment location with Dr. Ruth prior to first meeting.
OLD ADDRESS
4295 Gesner St.
San Diego CA 92117
