ASTHMA SELF TEST:

If you answer YES to any of these questions, this may mean that your or your child’s asthma is out of control and you need to see your clinician to create an Asthma Action Plan to take control of your asthma!

These questions are to help you find out if you or your child needs more evaluation for asthma.

1. Asthma symptoms (wheezing or coughing or shortness of breath) during the day more than 2 times every week
2. Asthma bothers sleeping more than 2 times every month.
3. Trouble playing like other kids, or tires out or starts coughing with exercise.
4. Misses more than 2 days of school a month because of asthma.
5. Use up more than one asthma quick-reliever inhaler (like albuterol) every 2 months.
6. Go to the emergency department or to the doctor a lot (more than one time every two months) for asthma.
7. Have been hospitalized for asthma in the last 6 months.
   
   

Has your child ever been diagnosed by a doctor as having asthma, wheezy bronchitis or recurrent bronchitis?
Has your child had episodes of wheezing (whistling in the chest) in the last 12 months?
In the last 12 months, have you heard your child wheeze or cough after playing or running?
Other than a cold, in the last 12 months has your child had a dry cough at night?
In the last 12 months, has your child been to a doctor, an emergency room, or a hospital for wheezing?
When your child catches a cold, does their cough last a lot longer than the cough of other people with the same cold?