Question

A client comes to you as part of their company's insurance benefit program. They receive a reduction on their premium if they attend five coaching sessions. The client was referred to the program because their health risk assessment indicated they are a current cigarette smoker. Your client is very clear they have no interest in quitting at this time.

Which open-ended question would be best given the clients lack of interest in quitting?
A. Tell me about the last time you tried to quit and what didn't work for you?
B. What would be some positive aspects of changing right now?
C. What does your life look like as a non-smoker?
D. What are some positive aspects of not changing right now?
E. What would have to happen that would signal you that it's time to start thinking about changing?

Answer 1

The most effective open-ended question to ask a client who is not interested in quitting smoking is 'What would have to happen that would signal you that it's time to start thinking about changing?' as it encourages reflection without pressuring them to make an immediate change.

Step-by-step explanation:

To engage a client in a health coaching session who is not interested in quitting smoking, an open-ended question that respects their current stance while encouraging them to think about their situation is essential. Given the client's clear lack of interest in quitting, the best open-ended question to ask would be E. What would have to happen that would signal you that it's time to start thinking about changing?

This question neither pressures them to quit nor assumes a position of change but rather invites the client to consider under what circumstances they might reevaluate their choice. It encourages reflection on their current situation and respect for their autonomy, while still opening up a potential conversation for further exploration if and when they are ready to consider change.