Question 1
How is your asthma today?
Question 2
How much of a problem is your asthma when you run, exercise or play sports?
Question 3
Does your asthma make you cough?
Question 4
Does your asthma make you wake up during the night?
Question 5
During the last 4 weeks, how many days did your child have any daytime asthma symptoms?
Question 6
During the last 4 weeks, how many days did your child wheeze during the day because of asthma?
Question 7
During the last 4 weeks, how many days did your child wake up during the night because of asthma?
PART 2
Adult
Please complete the following questions on your own.