Skip to main content

Table 3 Adult asthma questionnaire

From: Breaking new ground: challenging existing asthma guidelines

1. Have you had wheezing or whistling in your chest at any time in the last 12 months?
2. Have you been woken up at night by an attack of coughing at any time in the last 12 months?
3. Have you been woken up at night by an attack of shortness of breath at any time in the last 12 months?
4. Have you woken up with a feeling of tightness in your chest at any time in the last 12 months?
If new or recurrent asthma or rhinitis is suspected, assess possible occupational association.
5. Do your symptoms occur less frequently or not at all on days away from work and on vacations?
If yes, ask about the nature of the patient's occupation and consider 4-hourly peak flow recording at and away from work and consider referring patient to a specialist for further assessment.
  1. NOTE: Any patient diagnosed with asthma should also be evaluated for allergic rhinitis.
  2. Reprinted with permission from Levy and coworkers [17].