Personal Lifestyle Questionnaire (PLQ)

1. See a health care provider for a check-up at least yearly.
2. Get together with friends.
3. Eat at regular times during the day.
4. Wear seatbelts while riding in an automobile.
5. Eat foods from each of the food groups (meat‚ milk‚ breads‚ fruits‚ and vegetables).
6. Communicate concerns with another person.
7. Drive after drinking two or more alcoholic beverages.
8. up‎date emergency numbers kept by the telephone.
9. Get adequate sleep.
10. Have a planned exercise program.
11. Climb at least five flights of stairs or walk one mile each day.
12. Stay within 10 miles per hour of the speed limit while driving.
13. Smoke one or more packs of cigarettes daily.
14. Add salt to food after preparation.
15. Take time to relax 15-20 minutes daily.
16. Drink more than 2 alcoholic beverages per day.
17. Play sports‚ jog‚ or participate in other physical activity at least three times weekly.
18. Meet needs for intimacy.
19. Limit caffeine intake to 3 cups daily (includes tea‚ coffee‚ and colas).
20. Smoke in bed.
21. Have a dental check-up yearly.
22. Do a monthly self-breast exam (females only).
22. Do a monthly testicular self-exam (males only)
23. Maintain weight within desirable limits avoiding both underweight and overweight.
24. Avoid alcoholic beverages when taking medications.
 
This instrument can be found on pages 112-114 of An investigation of mediators of the relationship between social support and positive health practices in black late adolescents. Available online at:  https://rucore.libraries.rutgers.edu/rutgers-lib/43765/
1= Never; 2=Occasionally; 3=Frequently; 4=Almost Always
Reverse scoring is necessary for negatively worded items 7‚ 13‚ 14‚ 16‚ and 20
 

Brown‚ N.‚ Muhlenkamp‚ A.‚ Fox‚ L.‚ & Osborn‚ M. (1983). The relationship among health beliefs‚ health values and health promotion activity. Western Journal of Nursing Research‚ 5‚ 155-163.

Mahon‚ N. E.‚ Yarcheski‚ A.‚ & Yarcheski‚ T. J. (2002). Psychometric evaluation of the Personal Lifestyle Questionnaire for adolescents. Research in Nursing & Health‚ 25‚ 68-75.

Gage‚ Gale S. (author)‚ 2014. Yarcheski‚ Adela (chair). An investigation of mediators of the relationship between social support and positive health practices in black late adolescents. Thesis. Rutgers University‚ Graduate School – Newark.