|  | | | Allergy/Asthma Control Test |  |
|
The Allergy / Asthma Control Test
In the past four weeks, how much of the time
did your asthma keep you from getting
things done at work or at home:
a. None of the time
b. A little of the time
c. Some of the time
d. Most of the time
e. All the time
During the past four weeks, how often did
you had shortness of breath?
a. Not at all
b. Once or twice a week
c. Three to six times a week
d. Once a day; more than once a day
During the past four 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?
a. Not at all
b. Once or twice
c. Once a week
d. Two or three nights a week
e. Four or more nights a week
During the past four weeks how often have
you used your rescue inhaler or nebulizer
medication (such as Albuterol)?
a. Not at all
b. Once a week or less
c. The few times a week
d. Up to two times per day
e. Three or more times per day
How would you rate for asthma control
during the past four weeks?
a. Completely controlled
b. Well-controlled
c. Somewhat controlled
d. Poorly controlled
e. Not controlled at all
Tabulate your scores:
a= 0, b=1, c= 2, d =3, e=4. If your total
score is 5 or greater we advise you to consult
with your physician.
|
| |
| | |
Hoboken Allergy & Asthma Specialists, LLC: - Allergy & Asthma Control Test
Top
