Self-Tests for Adults and Children

Kids’ Asthma Check, ages 0-7


Sometimes asthma can take a child's breath away. It also can make it hard to concentrate and do well in school, or even difficult to get a good night of sleep without waking up and coughing. If you've been told your child has asthma, or if your child has trouble breathing when running or playing hard, take this simple Kids' Asthma Check. Just answer yes or no to these questions. Then print this page and see how you can make sure that asthma doesn't take their breath away.

1. When walking or playing hard with friends, my child has trouble breathing or coughs.   Yes No
       
2. When walking up hills or stairs, my child has trouble breathing or coughs.   Yes No
       
3. When running or playing sports, my child has trouble breathing or coughs.   Yes No
       
4. Sometimes my child wakes up at night with coughing or trouble breathing.   Yes No
       
5. Sometimes my child has trouble taking a deep breath.   Yes No
       
6. Sometimes my child makes wheezing sounds.   Yes No
       
7. Sometimes my child complains of pain or tightness in the chest.   Yes No
       
8. Sometimes my child coughs a lot.   Yes No
       
9. Being outdoors or around dust or pets makes my child's breathing worse.   Yes No
       
10. It's hard for my child to breathe in cold weather.   Yes No
       
11. It's hard for my child to breathe when people smoke or there are strong odors.   Yes No
       
12. Colds make my child cough or wheeze.   Yes No
       
13. My child went to the doctor's office or emergency room for asthma or trouble breathing this year.   Yes No
       
14. My child stayed in the hospital overnight for asthma or trouble breathing this year.   Yes No
       
15. I've been told that my child has asthma.   Yes No
       

If you answered "no" to number 15, you have completed the Asthma Check. If you answered "yes," please answer questions 16-21:

       
16. My child uses an asthma inhaler two or more times a week.   Yes No
       
17. Sometimes asthma medicine makes my child feel bad.   Yes No
       
18. My child only takes medicine when not feeling well.   Yes No
       
19. My child can't do some things because of asthma.   Yes No
       
20. My child gets scared because of asthma.   Yes No
       
21. I worry that asthma affects my child's health or that my child may die from asthma.   Yes No
 
If you answered "yes" to one or more of the Asthma Check questions, print this Asthma Check, and then press the button below to score your answers.
 


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