When I first started FMQ, I picked a design I already could draw freehand (stars and loops) Designs that had a stopping point allowed me to rest and reposition my hands. If you have needle down function on your machine it is very helpful. Needle down allows you to keep the sandwich in position while you rest. Machinger gloves or similar really help to move the sandwich. If you can see your machine speed to medium it helps also. You will need a darning or FMQ foot. I like to lower my feed dogs but some like them up.