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Asthma review (children, 4 to 11 years)

Child Asthma Review

Section

Questions for Child

How is your asthma today? *
How much of a problem is your asthma when you run, exercise or play sports? *
Do you cough because of your asthma? *
Do you wake up during the night because of your asthma? *

Questions for Parent or Guardian

During the last 4 weeks, on average, how many days per month did your child have any daytime asthma symptoms? *
During the last 4 weeks, on average, how many days per month did your child wheeze during the day because of asthma? *
During the last 4 weeks, on average, how many days per month did your child wake up during the night because of asthma? *