Childhood Asthma Control Test

Step 1: Let your child respond to the first 4 questions (1 to 4). If your child needs help reading or understanding the question, you may help, but let your child select the response. Complete the remaining 3 questions (5 to 7) on your own and without letting your child’s response influence your answers. There are no right or wrong answers.

Step 2: Click an answer button for each question. You will see a number score populate the column to the right.

Step 3: When all 7 questions have been answered, press the "SEE YOUR SCORE" button to view your child's score.

Step 4: Take a printout of the test results to the doctor to talk about your child's total score.

Have your child complete these questions.

1. How is your asthma today?

Very Bad

Bad

Good

Very Good

2. How much of a problem is your asthma when you run, exercise or play sports?

It's a big problem, I can't do what I want to do.

It's a problem and I don't like it.

It's a little problem but it's okay.

It's not a problem.

3. Do you cough because of your asthma?

Yes, all of the time.

Yes, most of the time.

Yes, some of the time.

No, none of the time.

4. Do you wake up during the night because of your asthma?

Yes, all of the time.

Yes, most of the time.

Yes, some of the time.

No, none of the time.

Please complete the following questions on your own.

5. During the last 4 weeks, how many days did your child have any daytime asthma symptoms?
Not at all 1-3 days 4-10 days 11-18 days 19-24 days Everyday

6. During the last 4 weeks, how many days did your child wheeze during the day because of asthma?
Not at all 1-3 days 4-10 days 11-18 days 19-24 days Everyday

7. During the last 4 weeks, how many days did your child wake up during the night because of asthma?
Not at all 1-3 days 4-10 days 11-18 days 19-24 days Everyday