Inform others about options available to them

• Present clear, understandable options
  • “There are a few ways we can approach this; would you like me to explain each one?”
  • “We can start with stretching, gentle strengthening, or relaxation techniques. Which feels most comfortable to you today?”
• Explain the purpose and potential outcomes
  • “This exercise helps with flexibility, while this one focus more on strength, both are helpful, but you can decide which to prioritize.”
  • “Trying short activity breaks could help reduce pain, or we can continue with your current plan if you prefer.”
• Invite collaboration and shared decision-making
  • “What feels most manageable for you right now?”
  • “You’re the expert on your own body. I’ll share information, and we’ll make choices together.”
• Normalize saying no and changing plans
  • “It’s completely okay to change your mind or say no to any part of the session.”
  • “If something doesn’t feel right, please let me know — we can adjust immediately.”
  • “You can always pause or stop an activity; you’re in control.”
• Encourage reflection and empowerment
  • “How did that option feel for you?”
  • “Would you like to continue with this or explore a different approach?”
• Reinforce autonomy and respect
  • “I respect whatever you decide. You know what feels safest for you.”
  • “There’s no pressure. We’ll move forward only when you’re ready.”

Balance flexibility while defining parameters

• Provide structure while allowing choice
  • “We’ll plan to work on two exercises today, but we can adjust if you need more time or a break.”
  • “Our sessions have a general outline, but we can change the order based on how you’re feeling.”
• Set clear boundaries respectfully
  • “It’s important that I stay within safe limits for your body, even if you’re eager to do more.”
  • “We can go as far as is comfortable. I’ll let you know if we reach a point that could risk strain or injury.”
  • “My role is to guide and keep you safe while supporting your choices.”
• Be transparent about clinical parameters
  • “To stay safe, we’ll keep your pain level under a 4 out of 10 during exercises.”
  • “If your heart rate goes above this range, we’ll pause and recover before continuing.”
• Encourage feedback and negotiation
  • “Does this pace feel okay, or would you like to slow down?”
  • “If you’d like to try something new, let’s discuss how to do it safely.”
• Reassure flexibility and collaboration
  • “The plan isn’t fixed. We can adapt it together as you progress.”
  • “Your comfort and safety are my top priorities, even as we work toward your goals.”
  • “You don’t have to push beyond what feels manageable, steady progress is still progress.”
• Reinforce predictability within flexibility
  • “Each session will start with a check-in, but what we do next can change depending on how you’re feeling.”
  • “You’ll always know what to expect, even if we make small adjustments.
  • “Our framework keeps things safe and consistent, while leaving room to adapt to your needs.”

Reflect options regarding race, gender and culture

• Offer culturally sensitive options
  • “Some exercises can be adapted: would you like me to show the alternatives?”
  • “We can modify positions or equipment to respect your comfort and traditions.”
  • “There are a few ways to approach this activity; I’ll explain each and you can choose what feels best.
• Normalize diversity and inclusion
  • “Everyone’s body, experience, and background are different. There’s no one-size-fits-all approach.”
  • “Your preferences are important in shaping your care plan.”
  • “It’s okay to request adjustments so that exercises feel comfortable and respectful.”
• Invite feedback and collaboration
  • “If something feels uncomfortable or doesn’t align with your values, please let me know.”
  • “Your input helps ensure the session is respectful, safe, and effective for you.”
• Demonstrate awareness and respect through language and environment
  • Use inclusive and neutral language in speech and documentation.
  • Provide reading materials or visuals that reflect diverse populations
  • Offer interpreters or translated instructions when needed.
• Reinforce empowerment and belonging
  • “You are in charge of what feels safe and appropriate for your body and identity.”
  • “Your preferences shape how we work together. I want to make sure your needs are fully respected.”
  • “Thank you for sharing your perspective; it helps me provide care that honours who you are.”