Step 1 :Given points P(-11, -16) and Q(-4, -11).
Step 2 :Use the distance formula: $d(P, Q) = \sqrt{(x_2 - x_1)^2 + (y_2 - y_1)^2}$.
Step 3 :Plug in the coordinates: $d(P, Q) = \sqrt{(-4 - (-11))^2 + (-11 - (-16))^2} = \sqrt{49 + 25} = \sqrt{74}$.
Step 4 :Use the midpoint formula: $M = (\frac{x_1 + x_2}{2}, \frac{y_1 + y_2}{2})$.
Step 5 :Plug in the coordinates: $M = (\frac{-11 + (-4)}{2}, \frac{-16 + (-11)}{2}) = (-7.5, -13.5)$.
Step 6 :Final Answer: The distance between points P and Q is \(\boxed{\sqrt{74}}\) and the coordinates of the midpoint M are \(\boxed{(-7.5, -13.5)}\).