How Do You Feel Today?

This quick and easy quiz will show you how well you're managing your asthma. Take it whenever you need an update, and print out your results and take them to your next appointment with your family doctor or asthma educator.

First, Tell Us About Yourself How long have you had asthma? (Select one) I have just been diagnosed I was diagnosed within the last five years I was diagnosed five or more years ago Is this your first visit to the ASC site? Yes No

Next, Tell Us About Your Asthma Do you experience asthma symptoms (i.e., coughing, wheezing, chest tightness, etc.) more than four days a week? Yes No Do you wake up because of asthma symptoms (i.e., coughing, wheezing, chest tightness, etc.) one or more nights a week? Yes No Does your asthma prevent you from exercising or performing other physical activities? Yes No Have you ever had to miss work or school because of asthma? Yes No Do you take your reliever bronchodilator more than four times a week? Yes No Are your peak flow readings or breathing test results outside normal levels as specified by your doctor? Yes No Do not use

Now, Tell Us About How Your Asthma Varies In the last year, have you gone to the emergency room or made an unscheduled visit to your doctor because of an asthma episode? Yes No Does your asthma get worse when you have a respiratory tract infection (that is, a cold or the flu)? Yes No Does your asthma get worse at certain times of the year (spring, summer, fall or winter)? Yes No