In the past 4 weeks, how much of the time did your asthma keep you from getting as much done as usual at work, school or at home?
During the past 4 weeks, how often have you had shortness of breath?
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?
During the past 4 weeks, how often have you used your rescue inhaler or nebuliser medication (such as Salbutamol, Ventolin, Asthavent, Oxis or Serevent)?
How would you rate your asthma control during the past 4 weeks?