1. | In the past 4 weeks, how much of time did your asthma keep you from getting as much done at work, school or at home? |
2. | During the past 4 weeks, how often have you had shortness of breath? |
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? |
4. | During the past 4 weeks, how often have you used your rescue inhaler or nebulizer medication (such as albuterol)? |
5. | How would you rate your asthma control during the past 4 weeks? |