Living with persistent asthma doesn’t necessarily mean you should limit the activities you enjoy. To get your asthma impact score, think about each question and select the option that best describes your answer for each. Be honest with yourself. This survey is not a substitute for a doctor’s judgment, diagnosis, or advice, but a tool to help you and your doctor recognize areas in your daily life where you may find greater satisfaction and success with your asthma.
Every 4 weeks, or before each doctor visit, complete this survey to help you uncover how your asthma may impact the things you want to do. Be sure to share and discuss the results with your doctor.
Asthma Impact Survey V.6
This survey was designed to help you describe your asthma and how your asthma affects how you feel and what you are able to do. To complete it, please select the box that best describes your answer. The information you provide about yourself on this survey is not stored or used in any way by AstraZeneca or any other party. This is your information to share with your doctor.
Start the Asthma Impact Survey