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  Asthma Risk Assessment  
1) During past six months have you ever experienced sudden severe episode or recurrent episodes of coughing, wheezing or shortness of breath?

2) Do you experience the chest tightness? Is it like squeezing in the chest?

3) During the past one year, have you had significant coughing, wheezing, or shortness of breath during a particular season or time of year?

4) Do you experience increased coughing, or shortness of breath when exposed to allergens from dust, mold, pollens and cigarette smoke, perfumes?

5) Have you had coughing, wheezing or shortness of breath at night, making it hard to sleep?

6) Do you have significant coughing, wheezing or shortness of breath in the early morning?

7) Do you experience the significant coughing, wheezing or shortness of breath after running, moderate exercise or other physical activity?

8) During the past one year, have you occasionally used medications to help you breathe easily?


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Disclaimer: Please note that the assessment results are indicative but not conclusive. It is only for information purpose and should not be considered equivatent to the evaluation and treatment provided by a healthcare professional. A licensed physician should be consulted for proper diagnosis and treatment.
 
 
 

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