How often in the last 4 weeks has asthma prevented you from doing your normal workload at school, at work or at home?

Never

Rarely

Sometimes

Very often

All time

How often have you had difficulty breathing in the last 4 weeks?

Never

Once or twice a week

From 3 to 6 times a week

Once a day

More than once a day

How often in the last 4 weeks have you woken up at night or earlier than usual because of asthma symptoms (wheezing, coughing, shortness of breath, tightness or chest pain)?

Never

Once or twice a week

From 3 to 6 times a week

Once a day

More than once a day

How often in the last 4 weeks have you used a high-speed inhaler (eg Ventolin, Berotek, Berodual, Atrovent, Salbutamol, Salamol, Salben, Astmopent) or a nebulizer (aerosol device) with medication (eg Berotek, Berodual, Ventolin Nebula)?

Never

Once a week or less

2 or 3 times a week

1 or 2 times a day

3 times a day or more often

How would you rate your asthma control over the past 4 weeks?

It was completely possible to control

It was well controlled

To some extent it was possible to control

It was bad to control

It was not possible to control at all