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  • Asthma Control Test

    For patients 4-11 years old

  • This is a quick test that provides a numerical score to assess asthma control. Please answer each question, note your total score, and discuss your results with your doctor.

  • Date of Birth*
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  • Have your child complete these questions.

    Let your child respond to the first four questions (1 to 4). If your child needs help reading or understanding the question, you may help, but let your child select the response. 
  • 1. How is your asthma today?*
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  • 2. How much of a problem is your asthma when you run, exercise or play sports?*
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  • 3. Do you cough because of your asthma?*
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  • 4. Do you wake up during the night because of your asthma?*
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  • Please complete the following questions on your own.

    Complete the remaining three questions (5 to 7) on your own and without letting your child’s response influence your answers. 
  • 5. During the last 4 weeks, how many days did your child have any daytime asthma symptoms?*
  • 6. During the last 4 weeks, how many days did your child wheeze during the day because of asthma?*
  • 7. During the last 4 weeks, how many days did your child wake up during the night because of asthma?*

  • If your child’s score is 19 or less, it may be a sign that your child’s asthma is not controlled as well as it could be. No matter what the score, bring this test to your doctor to talk about your child’s results.

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