How is your COPD? Take the COPD Assessment Test™ (CAT)

How is your COPD? Take the COPD Assessment Test™ (CAT)
Your name*
Today’s date*

MonthDayYear
Date
Date of Birth*

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Date
This questionnaire will help you and your healthcare professional measure the impact COPD (Chronic Obstructive Pulmonary Disease) is having on your wellbeing and daily life. Your answers, and test score, can be used by you and your healthcare professional to help improve the management of your COPD and get the greatest benefit from treatment.

For each item below, place a mark in the box that best describes you currently. Be sure to only select one response for each question.
Example:

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1 is I am very happy, 5 is I am very sad
Question 1*

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1 is I never cough, 5 is cough all the time
Question 2*

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1 is I have no phlegm(mucus) in my chest, 5 is My chest is completely full of phlegm(mucus)
Question 3*

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1 is My chest does not feel tight at all, 5 is My chest feels very tight
Question 4*

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1 is When I walk up a hill or one fight of stairs I am not breathless , 5 is When I walk up a hill or one flight of stairs I am very breathless
Question 5*

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1 is I am not limited doing any activities at home , 5 is I am very limited doing activities at home
Question 6*

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1 is I am confident leaving my home despite my lung condition, 5 is I am not at all confident leaving my home because of my lung condition
Question 7*

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1 is I sleep soundly, 5 is I don't sleep soundly because of my lung condition
Question 8*

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1 is I have lots of energy, 5 is I have no energy at all
TOTAL SCORE
Calculation
Notes
• For each question, point values range from 0 to 5 points. High CAT scores are associated with high health impact.
• GlaxoSmithKline is the copyright owner of the COPD Assessment Test (CAT). However, third parties will be allowed to use the CAT free of charge. The CAT must always be used in its entirety.[1]

Equations used

CAT score = Cough + Phlegm + Chest tightness + Walking + Activity + Confidence + Sleep + Energy

References
1. Jones PW, Harding G, Berry P, et al. Development and first validation of the COPD Assessment Test. Eur Respir J 2009; 34:648.
2. Karloh M, Fleig Mayer A, Maurici R, et al. The COPD Assessment Test: What Do We Know So Far?: A Systematic Review and Meta-Analysis About Clinical Outcomes Prediction and Classification of Patients Into GOLD Stages. Chest 2016; 149:413.
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How is your COPD? Take the COPD Assessment Test™ (CAT)

TOTAL SCORE