Child Asthma Review

Patient Details

Please use this date format: DD/MM/YYYY
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Child Asthma Control Score

Questions for the child or young person:

How is your asthma today? *
How much of a problem is your asthma when you run, exercise or play sports? *
Do you cough because of your asthma? *
Do you wake at night up because of your asthma? *

Questions for parent or guardian:

During the past 4 weeks, how many days did your child have any daytime asthma symptoms? *
During the past 4 weeks, how many days did your child wheeze during the day because of asthma? *
During the last 4 weeks, how many days did your child wake up during the night because of asthma? *