Shore Health Systems



Self-test: Is your asthma under control?

Select Yes or No for each question below. Do this just before each doctor's visit.

In the past 2 weeks

1. Have you coughed, wheezed, felt short of breath, or had chest tightness:

  • During the day?

    a) Yes    b) No

  • At night, causing you to wake up?

    a) Yes    b) No

  • During or soon after exercise?

    a) Yes    b) No

2. Have you needed "quick-relief" medicine more than one to two times per week?

a) Yes    b) No

3. Has your asthma kept you from doing anything you wanted to do?

a) Yes    b) No

4. Have your asthma medicines caused you any problems, like shakiness, sore throat, or upset stomach?

Yes    No

In the past few months

5. Have you missed school or work because of your asthma?

Yes    No

6. Have you gone to the emergency room or hospital because of your asthma?

Yes    No

Get Results:

 

 

Questions created by the National Heart, Lung, and Blood Institute. Interactive format created by A.D.A.M., Inc.

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Review Date: 5/16/2007
Reviewed By: Alan Greene, M.D., F.A.A.P., Department of Pediatrics, Packard Children's Hospital, Stanford University School of Medicine; Chief Medical Officer, A.D.A.M., Inc.


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