Asthma review (children)

Section

How to answer the childhood asthma control test

Let your child answer the first 4 questions. If your child needs help reading or understanding the question, you may help, but let your child choose the answer.

Complete the remaining 3 questions on your own without letting your child’s response influence your answers. There are no right or wrong answers.

Asthma control test

To be answered by the child

How is your asthma today? *

Very Bad

Bad

Good

Very Good

How much of a problem is your asthma when you run, exercise or play sports? *

It is a big problem, I cannot do what I want to do

It is a problem and I do not like it

It is a little problem but it is okay

It is not a problem

Do you cough because of your asthma? *

Yes, all the time

Yes, most of the time

Yes, some of the time

No, none of the time

Do you wake up during the night because of your asthma? *

Yes, all the time

Yes, most of the time

Yes, some of the time

No, none of the time

To be completed by the parent, guardian or carer

During the last 4 weeks, how many days did your child have any daytime asthma symptoms? *

During the last 4 weeks, how many days did your child wheeze during the day because of asthma? *

During the last 4 weeks, how many days did your child wake up during the night because of asthma? *

Additional questions

Child’s current height:

Child’s current weight:

Child’s latest peak flow reading:

Is your child exposed to second hand smoke at home? *

Yes

No

Does your child have a personalised asthma action plan? *

Yes

No

Since your child’s last review, have they needed to see a doctor as an emergency or attend the A&E department of a hospital as a result of their asthma? *

Yes

No

Since your child’s last review, have they needed a course of steroid tablets to get their asthma under control? *

Yes

No

Inhalers

Please select the types of inhalers that the child uses:

Please specify your inhaler:

Inhalers can help:

relieve symptoms when they occur (reliever inhalers)
stop symptoms developing (preventer inhalers)

Some people need an inhaler that does both (combination inhalers).

Watch a short video from Asthma UK to learn how to use your inhaler properly (opens in new tab)

Please let us know that you have watched and understood the video(s):

I have watched and understood the video(s)

I have not watched the video(s)

I have watched the video(s) but I would like more information

Do you have anything you would like to discuss regarding the child’s asthma?

Terms and conditions

I confirm that this is not an emergency and understand the surgery cannot help while it is closed. If I need help right now, I will use the NHS 111 service. In an emergency, I will call 999 or go to A&E.