West Calder Medical Practice > Forms > Electronic Reviews > Asthma Control Test > Asthma Control Test for Children aged 4-11

Asthma Control Test for Children aged 4-11

Let your child respond to the first four questions. If your child needs help in reading or understanding the question, you may help, but let your child select the response.

Complete the remaining three questions on your own and without letting your child’s responses influence your answers. There are no right or wrong answers.

Asthma Control Test – Adult
Please use format day/month/year e.g. 12/05/1979

Control Test Questions

During the last 4 weeks, how much of the time has your asthma kept you from getting as much done at work, school or home?
During the last 4 weeks, how often have you had shortness of breath?
During the last 4 weeks, how often have your asthma symptoms (wheezing, coughing, shortness of breath, chest tightness or pain) woken you up at night or earlier than usual in the morning?
During the last 4 weeks, how often have you used your rescue inhaler or nebuliser medication?
How would you rate your asthma control during the last 4 weeks?

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