How to take the Childhood Asthma Control Test
Step 1: Let your child
respond to the first four questions (1 to 4). If your child needs help in reading or understanding the question, you may help,
but let your child select the response.

Complete the remaining three questions (5 to 7) on your own and without letting your child's responses 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 seven questions have been answered, press the "SEE YOUR SCORE" button to view your score.

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


Have your child complete these four questions.
1. How is your asthma today?








Score
Very Bad
Bad
Good
Very Good
 

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








Score
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?








Score
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?








Score
Yes,
all of the time.
Yes,
most of the time.
Yes,
some of the time.
No,
none of the time.
 



Please complete these questions on your own.

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








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Date of preparation: January 2012