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Asthma Survey
(responses shared on
lifey.org/asthma
as a resource for those affected by asthma)
*You can answer as many of the questions as you like.
*Responses can be as short or as long as you like.
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Name:
Your answer
Age:
Your answer
What symptoms have you experienced?
Your answer
What interesting facts have you learned about asthma?
Your answer
What are effective ways to relieve your asthma?
Your answer
What are the most difficult aspects of living with asthma?
Your answer
What words of encouragement/advice can you share with others who have asthma?
Your answer
What’s been your experience with diet and exercise?
Your answer
What’s been your experience with treatments (medication, etc.)?
Your answer
Anything you would recommend for someone with asthma?
Your answer
What specific resources have you found most helpful?
Your answer
Share a story of when you had an asthma attack
Your answer
Enter email address if you'd like to receive a biannual newsletter with updates about this project
Your answer
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