Question | Answer | Score |
---|---|---|
1. Age | 40 -49 | 0 |
Age-group (years) | 50-59 | 4 |
60–69 | 60-69 | 8 |
2. (a) Are you an active smoker? | No O | Yes O |
(b) How many cigarettes do you smoke per day? | Cigarettes | |
(c) For how many years have you been smoking? | Years | |
3. Using the answers to question 2, calculate your pack/years | ||
N.B. To calculate the pack years you have to do the following operation: | ||
number of cigarettes smoked per day x years you have smoked divided by 20. | ||
0-14 | 0 | |
15-24 | 2 | |
25-49 | 3 | |
50+ | 7 | |
4. What is your weight? | kg | |
5. What is your height? | m | |
6. Using the answers to questions 4 and 5, calculate your body mass index: | ||
N.B. To calculate the body mass index you have to do the following operation: | ||
Weight expressed in kg divided by height expressed in metres squared | ||
Body mass index (BMI), kg/m2 | ||
> 29.7 | 0 | |
25.4-29.7 | 1 | |
< 25.4 | 5 | |
6. If you have respiratory symptoms (cough, breathlessness) does the weather influence your symptoms? | ||
Yes | 3 | |
No | 0 | |
I never have symptoms | 0 | |
7. Do you sometimes have a lot of phlegm even if you don’t have a cold or ‘flu? | ||
Yes | 3 | |
No | 0 | |
8. Do you ever cough up phlegm in the morning? | ||
Yes | 0 | |
No | 4 | |
9. Do you ever hear “whistling” sounds or other noises inside your chest when breathing? | ||
Never | 0 | |
Sometimes/often | 4 | |
10. Have you ever suffered from allergies? | ||
Yes | 0 | |
No | 3 |