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10/21/2017 Australian Asthma Handbook | Table.

Asthma Score (printable)

Table. Asthma Score

Step 1: Answer these simple questions

Points Score

1 point 2 points 3 points 4 points 5 points

1. In thepast 4 weeks, how much of the time did your asthma keepyou from getting as much done at work, school or at
home?

All of the time Most of the Some of the A littleof the time None of the time
time time

2. During thepast 4 weeks,how often have you had shortness of breath?

More than once a Once a day 3 to 6 times a Once or twice a week Not at all
day week

3.During thepast 4 weeks,how often did your asthma symptoms (wheezing, coughing, shortness of breath, chest
tightness or pain) wake you up at night or earlier than usual in the morning?

4 or more nights 2 to 3 nights a Oncea week Less than once Not at all
a week week perweek

4. During thepast 4 weeks, how often have you used your blue puffer orreliever medication (such as Ventolin, Asmol,
Airomir, Apo-Salbutamol or Bricanyl)?

3 or more times 1 or 2 times 2 or 3 times per Once a week or less Not at all
perday per day week

5. How would you rate your asthma control during thepast 4 weeks?

Not controlled at Poorly Somewhat Well controlled Completely


all controlled controlled controlled

Step 2: Add up each score to get the total

Total score:

Step 3: What does your asthma score mean?

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10/21/2017 Australian Asthma Handbook | Table. Asthma Score (printable)

Step 1: Answer these simple questions

Points Score

1 point 2 points 3 points 4 points 5 points

Your Asthma Score is your assessment of your level of asthma control. It will help you and your health care professional decide if
your asthma is controlled or whether there is room for improvement.

Even if you are happy with your level of asthma control, it is important that you make an appointment with your doctor to discuss your
asthma score or any other concerns about your asthma.

Score: 2025 Score: 19 or less

Your asthma appears to be controlled Your asthma may not be well-controlled. Be sure to talk to your
healthcare professional about your asthma score.

The Asthma Score (Asthma Control Test) was developed by QualityMetric Incorporated and GlaxoSmithKline. Reproduced with permission from
GlaxoSmithKline Australia. Asthma Control Test (ACTTM) copyright2002, 2004, 2013, 2015QualityMetric Incorporated. All rights reserved. ACTTMis a
trademark of QualityMetric Incorporated.
Asset ID: 88

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