asthma control test pdf 4-11

0 2 3 0 Yes some of the time. Yes some of the time.


Asthma Control Assessment Tools Respiratory Care

Childhood Asthma Control Test ACT for Children 4 to 11 years old This test will provide a score that may help your doctor determine if your childs asthma treatment plan is working or if it.

. During the last 4 weeks on average how many days per month did your child wake up during the night because of asthma. Yes some of the time. Do you wake up during the night because of your asthma.

During the last 4 weeks how many days did your child wake up in the night because of asthma. During the past 4 weeks how often have you had shortness of breath. 5 4 3 2 1 0.

2 3 0 2 3 1 1 1. Yes most of the time. Do you wake up during the night because of your asthma.

0 2 3 0 Yes some of the time. 2 3 0 2 3 1 1 1. 2 3 0 2 3 1 1 1.

Childhood Asthma Control Test for Children 4 to 11 years This test will help your doctor decide. Do you wake up during the night because of your asthma. Yes all of the time.

0 2 3 0 Yes some of the time. Yes some of the time. No none of the time.

If your childs score is 19 or less it may be a sign that your childs asthma is not controlle d as well as it could be. FileAsthma Control Test Ages 4-11 - Spanishpdf file redirect Metadata. Do you wake up during the night because of your asthma.

No none of the time. Do you wake up during the night because of your asthma. No none of the time.

Not at all 1-3 days 4-10 days 11-18 days 19-24 days Everyday. No none of the time. Childhood Asthma Control Test for children 4 to 11 years.

If your child needs help reading or understanding the question you may. Bring this test to your. 0 2 3 0 Yes some of the time.

Yes all of the time. This test will provide a score that may help the doctor determine if your childs asthma treatment plan is working or if it might be time. Yes most of the time.

Yes all of the time. 0 2 3 0 Yes some of the time. Yes all of the time.

- The total score will help you and the doctor to discuss the. Not at all 1. 4-10 daysmo 11-18 daysmo 19-24 daysmo Everyday 7.

Yes some of the time. Childhood Asthma Control Test for children 4 to 11 years. This file contains additional information probably added from the digital camera or scanner used to create or.

Yes most of the time. 4 4 4 4 4 None of the time Not at all Not at all Not at all Completely controlled TOTAL SCORE 5 5 5 5 5 2. Yes most of the time.

How to take the Childhood Asthma Control Test Step 1 Let your child respond to the first four questions 1 to 4. 2 3 0 2 3 1 1 1. Green Hills Pediatric Associates.

During the last 4 weeks how many days did your child wake up during the night because of asthma. Not at all 1-3. Yes some of the time.

Asthma Control Test from 4 to 11 years old - Choose the most appropriate answer and write its score in the circle to the right. Yes most of the time. 2 3 0 2 3 1 1 1.

No none of the time. Yes all of the time.


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