Is Your Asthma Controlled?

Question 1 of 5

In the past 4 weeks, how much of the time did your asthma stop you from getting much done at work, at school or at home?

ANone of the time
BA little of the time
CSome of the time
DMost of the time
EAll of the time
ANone of the time
BA little of the time
CSome of the time
DMost of the time
EAll of the time
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Question 2 of 5

During the past 4 weeks, how often have you had shortness of breath?

ANot at all
BOnce or twice a week
C3 to 6 times a week
DOnce a day
EMore than once a day
ANot at all
BOnce or twice a week
C3 to 6 times a week
DOnce a day
EMore than once a day
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Question 3 of 5

During the past 4 weeks, how often have you used your bronchodilator (which is sometimes called a "rescue inhaler") or a nebulizer?

ANot at all
BOnce a week or less
C2 or 3 times a week
D1 or 2 times per day
E3 or more times a day
ANot at all
BOnce a week or less
C2 or 3 times a week
D1 or 2 times per day
E3 or more times a day
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Question 4 of 5

How would you rate your asthma control during the past 4 weeks?

ACompletely controlled
BWell controlled
CSomewhat controlled
DPoorly controlled
ECompletely uncontrolled
ACompletely controlled
BWell controlled
CSomewhat controlled
DPoorly controlled
ECompletely uncontrolled
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Question 5 of 5

During the past 4 weeks, how often did your asthma symptoms wake you up at night or earlier than usual in the morning?

ANot at all
BOnce or twice
COnce a week
D2 to 3 nights a week
E4 or more nights a week
ANot at all
BOnce or twice
COnce a week
D2 to 3 nights a week
E4 or more nights a week
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Complete all questions to see your results