Do you ever experience breathlessness?|
Which of the following statement applies most to you?
|❍||I do not experience breathlessness||0|
|❍||I am only troubled by breathlessness during strenuous exercise||1|
|❍||I am only short of breath when hurrying on the level or walking up a slight hill||2|
|❍||My breathlessness makes me walk slower on the level than most people my age, or results in the need to stop for breath after walking at my own pace after 15 min||3|
|❍||I need to stop for breath for a few minutes after walking 100 m on the level||4|
|❍||I am too breathless to leave the house, or need to catch my breath when undressing||5|