Some users will join a programme feeling ready for change but unsure of where to begin. It can feel easy to jump into offering suggestions based on the programme and what other users do, but some motivational interviewing techniques can open up the conversation for the users to come up with their own goals. Of course, if someone is really struggling you can offer ideas, but try to illicit change talk and ideas generation from the user first.

Building Rapport and Eliciting Change Talk:

• "It's completely understandable to feel overwhelmed when starting a health journey. What aspects of your health are you most interested in improving?"
• "Taking charge of your health is a great decision! Can you tell me a little about what motivated you to book this call with me today?"
• "Sometimes the hardest part is just getting started. Have you ever tried making any changes to your health in the past?" (Follow up with open-ended questions about their experiences, positive or negative)

Normalising Ambivalence and Exploring Values:

• "It's common to feel unsure about where to begin. What are some of the things you're hoping to achieve by spending this time working on your health?"
• "Making changes can be scary, but the benefits can be life-changing. What would a healthier lifestyle mean to you? What would life look like / feel like for you?"
• "Everyone's health journey is unique. What are some things that are important to you when it comes to your health?" (e.g., energy levels, sleep quality, managing a condition)

Empowerment and Small Steps:

• "Even small changes can make a big difference. Have you thought about any areas where you might be open to making a small adjustment?" (e.g., adding a daily walk, swapping sugary drinks for water)
• "You're the expert on your own body. What are some things you've noticed about your health lately that you'd like to address?"
• "Let's brainstorm some ideas together. Is there anything you'd be curious about trying to see how it affects your health?" 

Remember:

• The focus is on collaboration and user-driven goals.
• Open-ended questions help users explore their motivations and identify starting points.
• Affirm their desire for change and the challenges they might face.
• Evoke change talk by reflecting on their desires and reasons for wanting to improve their health.