Asthma control test questionnaire pdf

AsthmA Control testв„ў – Asthma.com

… Control testв„ў the AsthmA Control testв„ў is a quick test for people with asthma
12 years and older. It provides a numerical score to help assess asthma control.

Asthma Control Testв„ў (ACT) is:

All of the time. 2. More than once a day. 2. 4 or more nights a week. 2. 3 or more
times per day. 2. Not controlled at all. 1. 1. 1. 1. 1. Most of the time. Once a day.

Childhood Asthma Control Test for children 4 to …

How to take the Childhood Asthma Control Test. Step 1 Let your child respond to
the first four questions (1 to 4). If your child needs help reading or …

Asthma Control Test (ACT) – American Thoracic Society

Name of questionnaire, Asthma Control Test (ACT). Type of … Scoring available:
with permission or free, The scores range from 5 (poor control of asthma) to 25 …

Helpful Handouts | Asthma Education Resources

… a list of available material. All documents are in Adobe Acrobat format (pdf). …
Asthma Control Tests. Asthma Control Test (ACT) Children ages 4-11 years old …

Childhood Asthma Control Test for children 4 to …

Please complete the following questions on your own. TOTAL … Have your child
complete these questions. … How to take the Childhood Asthma Control Test.

Asthma Control Test (ACT) – QualityMetric Health Outcomes …

The Asthma Control Test (ACT) is a five-item health survey used to measure
asthma … The survey measures the elements of asthma control as defined by the
 …

Childhood Asthma Control Test – National Jewish Health

A simple questionnaire can identify children and adults with poorly controlled
asthma who needlessly … Download the Childhood Asthma Control Test (pdf).

Asthma Control Test for Children – Hennepin County Medical …

Childhood Asthma Control Test – UCLA Food & Drug …

7. During the last 4 weeks, how many days did your child wake up during the
night because of asthma? Please complete the following questions on your own.

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Asthma and allergy questionnaire

New Patient QuestionnaireAllergy and Asthma

New Patient Questionnaire. Print clearly, and check 'вњ“' all that apply. Answer all
questions from the patient's point of view. Mark “N/A”—if not applicable.

Patient Questionnaire – Oklahoma Allergy and Asthma Clinic

Download Patient Questionaire (PDF). Print the Patient Questionnaire by clicking
on the green PDF link above. Complete all of the questions to the best of your …

new allergy and asthma patient questionnaire – …

Princeton: 609-520-1717. Voorhees: 856-435-1300. King of Prussia: 215-590-
6457. NEW ALLERGY AND ASTHMA PATIENT QUESTIONNAIRE. Patient Name
: …

ALLERGY QUESTIONNAIRE The Allergy & Asthma Group

ALLERGY QUESTIONNAIRE. The Allergy & Asthma Group. Linden David Ho,
MD & Michael Y. Viksman, MD. All questions contained in this questionnaire are
 …

New Asthma/Allergy Patient Questionnaire – Roches…

Please list all medications you take regularly (including birth control, aspirin, and
any drug purchased over-the-counter): 1.

Asthma & Allergy Questionnaire – Cross Creek …

Asthma. Septal Deviation. Pneumonia (_____ when?) Yellow/Green Drainage.
Tightness in Chest. Broken Nose. Wheezing w/or w/out exercise. Nasal. Chest.

allergy, asthma & immunology questionnaire – My …

The Permanente Medical Group, Inc. ALLERGY, ASTHMA & IMMUNOLOGY
QUESTIONNAIRE. Please complete and check all that apply. Name: …

Self-reported asthma and allergies in top athletes compared …

Nov 30, 2010 We aimed to compare the prevalence of asthma, allergies and … (65%)
completed a questionnaire on respiratory and allergic symptoms.

allergy questionnaireAllergy and Asthma Consul…

ALLERGY & ASTHMA CON SULTANTS OF CENTRAL FLORIDA. EUGENE F.
SCHWARTZ, M.D.. BERNARD S. ZEFFREN, M.D.. Patient's Name. Date of Birth.

Validation of a new questionnaire on asthma, allergic

BACKGROUND: Epidemiologic data on asthma and allergies among adults are
mainly based on questionnaires: this study validates the questions on asthma, …

Asthma action plan questionnaire

Asthma Action Plan Questionnaire – Evans Army …

Please provide the completed questionnaire (questions 1-13) to the child's
Primary Medical Provider; Medical. Provider to complete the Asthma Action Plan.

Asthma Survey (PDF, 29K)

Clinician survey regarding Asthma Action Plans. Please answer the following
questions about asthma action plans and return the completed survey.

Written Asthma Action Plans (WAAPs) in Melbourne …

questionnaire implementation and, 12 months later, six focus groups and
additional in-depth … asthma action plans (WAAPs) assist asthma patients in.

Asthma in children: Creating an asthma action plan – Mayo Clinic

Having a written asthma action plan makes it easier for you to measure whether
… Some asthma plans use a symptoms questionnaire called the Asthma Control
 …

Test Your Asthma Control | Resources | Asthma.com

Create an Asthma Action Plan. … The ASTHMA CONTROL TESTв„ў* is a way to
help you and your healthcare provider determine if your asthma symptoms are …

Effects of a written asthma action plan on caregivers' …

Effects of a written asthma action plan on caregivers' management of children
with asthma: a cross-sectional questionnaire survey. Tan NC, Chen Z, Soo WF, …

CDC – Asthma – Asthma Action Plan

Apr 24, 2009 All people with asthma should have an asthma action plan. An asthma action
plan (also called a management plan) is a written plan that you …

Asthma Action Plans | Doctor | Patient.co.uk

Written personalised asthma action plans are recommended as part of patient …
Scottish survey showed only 23% of asthmatic patients received an action plan …

Asthma Action Plan F1 – Minnesota Department of …

(If there is no Asthma Action Plan, the LSN may determine the asthma severity
based upon data from the Student Breathing Questionnaire or the Parent.

The NSW Asthma SurveyAsthma Australia

A quantitative survey of around 700 people with asthma. вћў Designed to …. written
action plan. Action plan ownership in this survey was much higher than in.

Asthma quality of life questionnaire

Asthma Quality of Life Questionnaire (AQLQ)

Name of questionnaire, Asthma Quality of Life Questionnaire (AQLQ). Type of
questionnaire-description, A disease-specific health-related quality of life …

Asthma Quality of Life Questionnaire (AQLQ) – Qoltech

The items that were identified most frequently and scored highest were included
in the AQLQ. The highest scoring problems were the same for both men and …

Standardised Asthma Quality of Life Questionnaire – …

Introduction. A unique feature of the original Asthma Quality of Life Questionnaire
(AQLQ) is that five of the questions in the activity domain are "patient-specific".

Paediatric Asthma Quality of Life Questionnaire (PAQLQ) – …

The Paediatric Asthma Quality of Life Questionnaire (PAQLQ) was developed to
measure the functional problems (physical, emotional and social) that are most …

Mini Asthma Quality of Life Questionnaire – Qoltech …

MINI ASTHMA QUALITY OF LIFE QUESTIONNAIRE (Mini AQLQ). Introduction.
Although the AQLQ(S) has been highly successful and used in a large number of
 …

Asthma Quality of Life Questionnaire for 12 years and older …

In some countries, adolescents (>12 years) are included in some adult asthma
clinical trials. To avoid using two separate quality of life questionnaires in these …

Development and validation of the Mini Asthma

ABSTRACT: The 32-item Asthma Quality of Life Questionnaire (AQLQ) has
shown good responsiveness, reliability and construct validity; properties that are
 …

Validation of a Standardized Version of the Asthm

Background: In the original 32-item Asthma Quality of Life Questionnaire (AQLQ),
five activity questions are selected by patients themselves. However, for …

Validation of a standardized version of the Asthma Quality of

Juniper EF, Buist AS, Cox FM, Ferrie PJ, King DR. BACKGROUND: In the original
32-item Asthma Quality of Life Questionnaire (AQLQ), five activity questions …

Development and validation of the Mini Asthma

The 32-item Asthma Quality of Life Questionnaire (AQLQ) has shown good
responsiveness, reliability and construct validity; properties that are essential for
use …

Asthma classification questionnaire

Measuring asthma control: a comparison of three …

Jan 28, 2010 There are various ways to classify asthma control; however, … asthma control as
assessed by the Asthma Control Questionnaire (5-item version …

Overview of Changes to Asthma Guidelines: Diagnosis and …

May 1, 2009 Validated questionnaires can be used for following the impairment … The EPR-3
guideline classification divides asthma severity into four …

Measuring Asthma Control with Patient-Completed …

Asthma Control Questionnaire (ACQ) … The AQLQ(S) is a 32-item, disease-
specific questionnaire that uses …. Percent correctly classified per specialist 74.1
%.

NAEPP EPR-3 Classification of Asthma Severity & …

Based on NAEPP EPR-3 recommendations for classification of asthma severity
and … Validated Questionnaires for the impairment domain do not assess lung …

Measurement of asthma control according to global …

Jun 22, 2012 Introduction: Asthma Control Questionnaire (ACQ) is a validated tool to measure
… update proposed a new classification of asthma, based.

Measuring asthma control: a comparison of three …

Jan 28, 2010 ABSTRACT: There are various ways to classify asthma control; however, …
Asthma Control Questionnaire (5-item version; ACQ-5), Global …

Measuring asthma control: a comparison of three …

Aug 1, 2010 This retrospective analysis compared asthma control as assessed by the Asthma
Control Questionnaire (5-item version; ACQ-5), Global …

Evaluation of the asthma control questionnaire validated

All of the patients completed the questionnaire, underwent spirometry and were
…. The severity of asthma was classified as intermittent asthma, mild persistent …

POCKET GUIDE FOR ASTHMA MANAGEMENT AND PREVENTION

CLASSIFICATION OF ASTHMA BY LEVEL OF CONTROL. 9. Figure 2. …. Asthma
Control Questionnaire (ACQ): http://www.qoltech.co.uk/Asthma1.htm. • Asthma …

The Pediatric Asthma Control and Communication …

useful to clinicians to assess and classify asthma according to. National … The
use of a validated asthma questionnaire might help to over- come this issue by …