Adult Asthma History

• How old were you when you were first told by a doctor, nurse, or other health professional that you had asthma?
• During the past 12 months, have you had an episode of asthma or an asthma attack?
• During the past 12 months, how many times did you visit an emergency room or urgent care center because of your asthma?
• During the past 12 months, how many times did you see a doctor, nurse or other health professional for urgent treatment of worsening asthma symptoms?
• During the past 12 months, how many times did you see a doctor, nurse, or other health professional for a routine checkup for your asthma?
• During the past 12 months, how many days were you unable to work or carry out your usual activities because of your asthma?
• During the past 30 days, how often did you have any symptoms of asthma?
• During the past 30 days, how many days did symptoms of asthma make it difficult for you to stay asleep?
• During the past 30 days, how many days did you take a prescription asthma medication to PREVENT an asthma attack from occurring?
• During the past 30 days how often did you use a prescription asthma inhaler DURING AN ASTHMA ATTACK to stop it?