Question 1
In the past 4 weeks, how much of the time did your asthma keep you from getting as much done at work, school or at home?
Question 2
During the past 4 weeks, how often have you had shortness of breath?
Question 3
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?
Question 4
During the past 4 weeks, how often have you used your reliever medication?
Question 5
How would you rate your asthma control during the past 4 weeks?