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  • Pulmonary Patient Forms

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  • Pulmonary Education Quiz

    If you are unsure of an answer, please take your best guess and we will review it together!

  • LEARNING TO BREATHE BETTER

  • PULMONARY MEDICATIONS AND HYGIENE

  • BREATHING TECHNIQUES

  • ENERGY CONSERVATION AND WORK SIMPLIFICATION

  • STRESS REDUCTION/ STRESS MANAGEMENT

  • HEALHY CHOICES FOR MANAGING PULMONARY ILLNESS

  • EXERCISE FOR PULMONARY PATIENTS

  • COPD Assessment Test

    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, please select the circle on the scale that best describes you currently.

  • Patient Health Questionnaire

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  • Pulmonary Rehabilitation Self-Assessment Form

  • Sleeping Pattern

  • Nutrition Information

  • Family Support

  • Check any of the following activities that you have difficulty doing without assistance.

    (Include activities that you always have someone else do because of your inability to do them).

  • Occupation History:

  • Allergy History:

  • Vaccine History:

  • Exercise Activity

  • Assistive Devices:

  • Respiratory Care Equipment:

  • Advanced Directive:

  • STOPBANG

    Screening Tool for Obstructive Sleep Apnea 


    Please answer the following questions:

  • Should be Empty: