Asthma Control Test

1. In the past 4 weeks, how much of the time did your asthma keep you from getting much done at work, school or home?

  1. All of the time
  2. Most of the time
  3. Some of the time
  4. A little of the time
  5. None of the time
2. During the past 4 weeks, how often have you had shortness of breath?
  1. More than once a day
  2. Once a day
  3. 3-6 times a week
  4. Once or twice a week
  5. Not at all
3. During the past 4 weeks, how often did your asthma symptoms (wheezing, coughing, shortness of breath, chest tightness or pain wake you up at night or earlier than usual in the morning?
  1. 4 or more nights
  2. 2-3 nights a week
  3. Once a week
  4. Once or twice
  5. Not at all
4. During the past 4 weeks, how often have you used your rescue inhaler or nebulizer medication (such as albuterol)?
  1. 3 or more times a day
  2. 1-2 times per day
  3. 2-3 times per week once a week or less
  4. not at all

5. How would you rate your asthma control during the past 4 weeks?

  1. Not controlled at all
  2. Poorly controlled
  3. Somewhat controlled
  4. Well controlled
  5. Completely controlled

Add your answers and write your total score in the box shown. If your score is 19 or less your asthma may not be controlled as well as it could be. Take this test to your doctor and discuss the results .

This test is for people with asthma 12 years and older.