UNION HOSPITAL ASTHMA PROGRAM

Kids Asthma Test:

For Ages 1-14

If you child has been told they have asthma or even if they have occasional problems taking a good deep breath, take this simple test.

1. When walking or playing hard with friends, my child has trouble breathing or coughs
2. When walking up hills or stairs, my child has trouble breathing our coughs.
3. When running or playing sports, my child has trouble breathing or coughs.
4. Sometimes my child wakes up at night with coughing or breathing trouble.
5. Sometimes my child has trouble taking a deep breath.
6. Sometimes my child makes a wheezing sound.
7. Sometimes my child complains of pain or tightness in the chest.
8. Sometimes my child coughs a lot.
9. Being outdoors or around dusts or pets makes my child’s breathing worse.
10. It’s hard for my child to breathe in cold weather.
11. It’s hard for my child to breathe when people smoke or there are strong odors.
12. Colds make my child cough or wheeze.
13. My child went to the doctor’s office or emergency room for asthma or trouble breathing this year.
14. My child stayed in the hospital overnight for asthma or trouble breathing this year.
15. I’ve been told that my child has asthma.

If you answered “no” to number 15, you have completed the Asthma Check. If you answered “yes” please answer questions 16-20.

1. My child uses an asthma inhaler two or more times a week.
2. Sometimes asthma medicine makes my child feel bad.
3. My child only takes medicine when not feeling well.
4. My child can’t do some things because of asthma.
5. My child gets scared because of asthma.

If you answered “yes” to one or more of the Asthma Check questions, asthma may be stopping your child from having fun, doing well in school and, in general enjoying a good life quality.

Take these steps now:

Contact your child’s doctor to discuss the Asthma Check and your child’s breathing problems. If your child has asthma, enroll them in the Asthma Education Program at Union Hospital to help control their asthma and help prevent future attacks.

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