asthma control test pdf 4-11
Yes all of the time. 5 4 3 2 1 0.
Asthma Control Test
Do you wake up during the night because of your asthma.
. 2 3 0 2 3 1 1 1. Yes all of the time. 0 2 3 0 Yes some of the time.
Not at all 1. During the last 4. During the last 4 weeks on average how many days per month did your child wake up during the night because of asthma.
2 3 0 2 3 1 1 1. The Childhood Asthma Control Test is a way to help your childs healthcare provider. Yes most of the time.
0 2 3 0 Yes some of the time. During the last 4 weeks how many days did your child wheeze during the day because of asthma. Childhood Asthma Control Test for children 4 to 11 years.
Take the Asthma Control TestTM ACT for people 12 yrs and older. Yes some of the time. During the last 4 weeks how.
Yes some of the time. Do you wake up during the night because of your asthma. 0 2 3 0 Yes some of the time.
0 2 3 0 Yes some of the time. This test will provide a score that may help your doctor determine if your childs asthma treatment plan is. Yes most of the time.
Yes most of the time. 2 3 0 2 3 1 1 1. Yes most of the time.
During the last 4 weeks how many days did your child have any daytime asthma symptoms. Please complete the following questions on your own. Yes all of the time.
Not at all 1-3. No none of the time. Yes some of the time.
Not at all 1-3 days 4-10 days 11-18 days 19-24 days Everyday. Do you wake up during the night because of your asthma. If your child needs help reading or understanding the question you may help but let.
Yes most of the time. No none of the time. No none of the time.
This test will provide a score that may help the doctor determine if your childs asthma treatment plan is working or if it might be. Childhood Asthm a Control Test for children 4 to 11 ye a rs. Childhood Asthma Control Test for children 4 to 11 years Know your score.
Bring this test to your. Yes some of the time. The Asthma Control Test is a way to help determine if your asthma symptoms are well controlled.
Yes all of the time. Yes all of the time. Childhood Asthma Control Test for children 4 to 11 years old.
Do you wake up during the night because of your asthma. 0 2 3 0 Yes some of the time. During the last 4 weeks how many days did your child wake up during the night because of asthma.
2 3 0 2 3 1 1 1. 2 3 0 2 3 1 1 1 childhood asthm a control test for children 4 to 11 ye ars. This test will provide a score that may help the doctor determine if your childs asthma treatment plan is working or if it might be time.
4 4 4 4 4 None of the time Not at all Not at all Not at all Completely controlled TOTAL SCORE 5 5 5 5 5 2. Childhood Asthma Control Test for children 4 to 11 years. No none of the time.
4-10 daysmo 11-18 daysmo 19-24 daysmo Everyday 7. During the past 4 weeks how often have you had shortness of breath. Not at all 1-3 days 4-10 days 11-18 days 19-24 days Everyday.
Do you wake up during the night because of your asthma. 2 3 0 2 3 1 1 1. Yes some of the time.
No none of the time. If your childs score is 19 or less it may be a sign that your childs asthma is not controlle d as well as it could be.
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