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Control Test™
Asthma Facts from
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Asthma Control Test™
Your answers to this 5-question quiz will provide you a score that may help you and your doctor determine if your treatment plan is working or if it might be time for a change.
If your child is between the ages of 4 to 11 years,
click here
to access the
Childhood Asthma Control Test
.
1.
In the past
4 weeks
, how much of the time did your
asthma
keep you from getting as much done at work, school or at home?
All of the time
Most of the time
Some of the time
A little of the time
None of the time
2.
During the past
4 weeks
, how often have you had shortness of breath?
More than once a day
Once a day
3 to 6 times a week
Once or twice a week
Not at all
3.
During the past
4 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?
4 or more nights a week
2 or 3 nights a week
Once a week
Once or twice
Not at all
4.
During the past
4 weeks
, how often have you used your rescue inhaler or nebulizer medication (such as albuterol)?
3 or more times per day
1 or 2 times per day
2 or 3 times per week
Once a week or less
Not at all
5.
How would you rate your
asthma
control during the
past 4 weeks
?
Not controlled at all
Poorly controlled
Somewhat controlled
Well controlled
Completely controlled
Copyright 2002, by QualityMetric Incorporated.
Asthma Control Test is a trademark of QualityMetric Incorporated.
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