Part 38 questions

IELTS Speaking Part 3: Health and lifestyle

Responsibility and behaviour change, not medicine — no specialist knowledge is needed or wanted.

Whether you can discuss why people do not do what they know they should. The questions look factual and are actually about incentives, habit and cost.

Questions you can expect

Longer answers than Part 1 — thirty to forty-five seconds each. The examiner may disagree with you, which is the format working as intended.

  1. Whose responsibility is people's health — the individual or the government?
  2. Why do people find it hard to keep healthy habits?
  3. Should unhealthy food be taxed?
  4. Do people get enough exercise these days?
  5. Has modern life made people more stressed?
  6. Should employers do more to support their staff's health?
  7. Is health advice confusing for ordinary people?
  8. How could cities encourage people to be more active?

How to build an answer here

  1. Answer the responsibility questions with a division of labour rather than a single culprit.
  2. Explain behaviour with cost, time and convenience before willpower. It is more accurate and it produces better sentences.
  3. On the tax question, take the policy seriously — who it affects most is the interesting part.
  4. Keep out of medical claims entirely. Nothing in this theme requires them and getting one wrong is a distraction.

Language this theme needs

Part 3 is scored on whether you can generalise and speculate without overstating. These are the phrases that do that work in this particular area.

a sedentary lifestyle

the precise term for inactivity

easier said than done

for the gap between knowing and doing

it disproportionately affects

for policies that hit some groups harder

get into the habit of

for behaviour change

preventative

as in 'preventative care' — precise register

there's only so much

for the limits of individual responsibility

The trap in this theme

Explaining poor health entirely as laziness or lack of discipline.

It is the least interesting available answer and it closes the topic. Cost, working hours, food environment, stress — any of those opens it back up and shows more range.

Two of these, answered at band 8

Watch the moves, not the opinions — take a position, hedge it as far as you actually believe it, support it, and give the strongest objection its due. Your views can be the opposite of these and score the same. A memorised Part 3 answer is more obvious than a memorised Part 1 one, because the examiner follows up on what you just said and a script cannot survive the follow-up.

Should governments do more to encourage healthy lifestyles?

Yes, but through the environment rather than through advice. Telling people to eat better has been tried at enormous length and the results are poor, because almost nobody is unhealthy through ignorance. What does seem to work is changing what's easy — the price of things, what's near a school, whether a city is walkable. Those are unglamorous and they don't produce a campaign anyone can photograph, which I suspect is why the advice keeps coming instead.

Why it worksDistinguishes two kinds of intervention, argues from evidence about why one fails, and offers a cynical but plausible explanation for the persistence of the wrong one.

Are people healthier now than in the past?

Healthier in the sense that matters most — people live considerably longer and survive things that used to kill them routinely. Less healthy in some specific and quite modern ways: we move much less, we sit for work, and the food that's cheapest is the food that's worst. So the answer depends on whether you mean lifespan or daily condition. I'd take the modern version without hesitating, but I don't think the trend within it is going the right way.

Why it worksAnswers on two different measures that point opposite ways, states a preference between them, and then separates level from trend — three distinct analytical moves.

Other Part 3 themes

All 15 Part 3 themes

Practise being disagreed with

Oliver pushes back in Part 3 the way a real examiner does — not to catch you out, but because holding a position under mild pressure is exactly what is being scored. That is not something you can rehearse against a list of questions. The first test is free.

This guide is written from the publicly published IELTS Speaking band descriptors, in our own words. For the official wording, see the British Council's band descriptors. MockLive AI is an independent practice tool and is not affiliated with IELTS, the British Council, IDP or Cambridge Assessment English.