Adult and child
Adult
1
2
3
4
5
6
7

Question 1

How is your asthma today?

Question 2

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

Question 3

Does your asthma make you cough? 

Question 4

Does your asthma make you wake up during the night?

Question 5

During the last 4 weeks, how many days did your child have any daytime asthma symptoms? 

Question 6

During the last 4 weeks, how many days did your child wheeze during the day because of asthma?

Question 7

During the last 4 weeks, how many days did your child wake up during the night because of asthma?

Ups... Something went wrong!

PART 2

Adult

Please complete the following questions on your own.

Adult No Children

Next question//Please answer all the questions//Previous question//Back to Introduction//Back to previous page//See result//Take me to part 2