Asthma Questionnaire
Please complete your annual asthma questionnaire in order to assist your doctor in how your asthma doing.
Your UNIQUE code *
This is the UNIQUE practice code sent to you by your surgery by SMS - if you are not sure please ring the surgery 02088819606
Your answer
Your email address
In order to verify who you are please offer your email address
Your answer
Asthma Questions
In the last month, have you had any difficulty sleeping because of your asthma symptoms (including cough)? *
In the last month, have you had your usual asthma symptoms during the day (cough, wheeze, chest tightness, or breathlessness)? *
In the last month, has your asthma interfered with your usual activities (e.g. housework, work/school, etc)? *
Useful videos
Asthma inhaler techniques
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