The following questionnaire was developed by the American College Allergy, Asthma, and Immunology for further assessment of asthma sufferers:

Activities

1. When I walk or do simple chores, I have trouble breathing or I cough.
   Yes
   No
2. When I perform heavier work, such as walking up hills and stairs or doing chores that involve lifting, I have trouble breathing or I cough.
   Yes
   No
3. Sometimes I avoid exercising or taking part in sports like jogging, swimming, tennis, or aerobics because I have trouble breathing or I cough.
   Yes
   No
4. I have been unable to sleep through the night without coughing attacks or shortness of breath.
   Yes
   No

Symptoms

1. Sometimes I can’t catch a good, deep breath.
   Yes
   No
2. Sometimes I make wheezing sounds in my chest.
   Yes
   No
3. Sometimes my chest feels tight.
   Yes
   No
4. Sometime I cough a lot.
   Yes
   No

Triggers

1. Dust, pollen, and pets make my asthma cough or trouble breathing worse.
   Yes
   No
2. My asthma gets worse in cold weather.
   Yes
   No
3. My asthma gets worse when I’m around tobacco smoke, fumes, or strong orders.
   Yes
   No
4. When I catch a cold it often goes to my chest.
   Yes
   No

Hospital visits

1. I made one or more emergency room visits because of asthma or breathing problems in the last year.
   Yes
   No
2. I had one or more overnight hospitalizations because of asthma or breathing problems in the last year.
   Yes
   No

Medication problems

1. I feel like I use my asthma inhaler too often.
   Yes
   No
2. Sometimes I don’t like the way asthma medicines make me feel.
   Yes
   No
3. My asthma medicine doesn’t control my asthma.
   Yes
   No

Anxieties

1. My breathing problem or asthma controls my life more than I would like.
   Yes
   No
2. I feel tension or stress because of my breathing problem or asthma.
   Yes
   No
3. I worry that my breathing problem or asthma affections my health or may even shorten my life.
   Yes
   No

For more information on how to treat bronchial asthma and protect your loved ones to suffer bronchial asthma again. Please go to The Asthma Relief Report.

keywords: asthma, allergies, allergy, allergy relief, air purifiers, air cleaner, asthma information, asthma

Bookmark to:

This entry was posted on Monday, June 4th, 2007 at 5:22 am and is filed under Asthma. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.