This SIMPLE TEST is suitable for people 12 years of age and older who suffer from asthma.
The test contains FIVE QUESTIONS that should take you around five minutes to complete.
Please answer as honestly as you can.
The results can help you determine the level of control you have over your asthma.3
In the past four weeks, how often did your asthma prevent you from
getting as much done at work, school or home?
During the past four weeks, how often have you had shortness of breath?
During the past four weeks, how often did your asthma symptoms
(wheezing, coughing, shortness of breath, chest tightness or pain) wake you up at
night or earlier than usual in the morning?
During the past four weeks, how often have you used your reliever medication (such as your blue inhaler or rescue inhaler)?
How would you rate your asthma control during the past four weeks?