Lifestyle Medicine Assessment Forms

Lifestyle Medicine Assessment Forms

The LM-25 and LM-67 are two lifestyle questionnaires that people can complete before visiting their healthcare practitioner. The LM-25 and LM-67 are composed of 25 and 67 lifestyle-based questions, respectively. They can be used to understand the lifestyle and health behaviours of people who complete the questionnaire and assist the practitioner in guiding the conversation and healthcare encounter.

Questions in both forms were taken or adapted from existing validated tools that have been used extensively in medical and public health research. Both forms are accompanied by an ‘i’ version (short for ‘interpretation’) which contains detailed instructions for the healthcare practitioner to interpret the responses provided by their client.

We encourage feedback on each of these forms so they can be improved, refined and ultimately used in practice and upcoming research projects. Please send your feedback to .