Table 1 Questionnaire for the assessment of asthma control
1. Have daytime asthma symptoms occurred during the last week (dyspnoea, shortness of breath, wheezing)? | |
|---|---|
a. No | 0 points |
b. Yes, maximum twice a week | 1 point |
c. Yes, more than twice a week | 5 points |
2. Have night-time symptoms occurred OR have you been woken up by asthma symptoms during the last week? | |
a. No | 0 points |
b. Yes, but I am not sure if it was asthma | 1 point |
c. Yes | 5 points |
3. Have you felt any limitation during physical activity during the last week? | |
a. No | 0 points |
b. Yes, but only during hard physical work | 1 point |
c. Yes, during normal daily activities | 5 points |
4. How frequently have you used reliever therapy during the last week(Ventolin/Berotec/Berodual/Salbutamol/Atrovent/Bricanyl/Symbicort reliever)?* | |
a. Never | 0 points |
b. Twice or less | 1 point |
c. More than twice | 5 points |
5. Have you had an acute exacerbation/attack of asthma that resulted in emergency department/hospitalization since you started using this maintenance therapy? | |
a. No | 0 points |
b. Yes | 5 points |
Total score: | |
CONTROLLED ASTHMA = 0-4 points | |
PARTIALLY CONTROLLED ASTHMA = 5-14 points | |
UNCONTROLLED ASTHMA = more than 14 |