In the past 4 weeks, how much of the time did symptoms, such as cough, wheezing (High-pitched whistling sounds when breathing out), shortness of breath, chest tightness, or chest pain keep you from getting as much done at work, school, of at home?

During the past 4 weeks, how often have you had shortness of breath?

During the past 4 weeks, how often did symptoms, such as cough, wheezing, shortness of breath, chest tightness, or chest pain wake you up at night or earlier than usual in the morning?

During the past 4 weeks, how often have you used a “rescue” inhaler, such as Primatene Mist or albuterol?

How would you rate your control of symptoms, such as cough, wheezing, shortness of breath, chest tightness, or chest pain during the past 4 weeks?