If you have asthma and are older than the age of 12, take the Asthma Control Test questionnaire below to check if your treatment plan is keeping the disease under control. Be sure to review your results with your doctor or nurse. Circle your responses, then add up the total score. For instance, the score for the first question is three if your response is “some of the time”, and five if it is “none of the time”.

QUESTION 1: During the past four weeks, how often did your asthma prevent you from getting as much done at work, school or home?

  1. All the time
  2. Most of the time
  3. Some of the time
  4. A little of the time
  5. None of the time

QUESTION 2: During the past four weeks, how often have you had shortness of breath?

  1. More than once a day
  2. Once a day
  3. Three to six times a week
  4. Once or twice a week
  5. Not at all

QUESTION 3: During the past four 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. Four or more times a week
  2. Two to three nights a week
  3. Once a week
  4. Once or twice
  5. Not at all

QUESTION 4: During the past four weeks, how often have you used your rescue inhaler or nebuliser medication (such as salbutamol)?

  1. Three or more times a day
  2. Once or twice a day
  3. Two to three times a week
  4. Once a week or less
  5. Not at all

QUESTION 5: How would you rate your asthma control during the past four weeks?

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

TOTAL SCORE OF 25

Congratulations! You have total control of your asthma.

SCORE OF 20-24

On target. Your asthma may be well, but not totally, controlled.

SCORE OF LESS THAN 20

Off target. Your asthma may not be controlled.

Ref. T12