ASTHMA HEALTH REVIEW

Personal Details

Asthma Health Review

Are you currently using medication for asthma?

Are you currently using medication for asthma?

If not, when was the last time that you used your medication?

How many times a day do you use your reliever (salbutamol)?

If you have a peak flow meter, what is your expiratory rate? Please note: the best, i.e. the highest, of three attempts.

Do you use a spacer device with your inhaler?

Do you use a spacer device with your inhaler?

Have you been admitted to hospital because of your asthma in the past year?

Have you been admitted to hospital because of your asthma in the past year?

Smoking habits?

Smoking habits?

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