Asthma Review (Child)

 
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Child Asthma Review

Child Asthma Review 

Asthma Review

  • Please complete the following questions to allow your health care professional to assess your asthma.
  • This questionnaire is for a routine review of your symptoms. If you are experiencing severe shortness of breath at present, please follow your care plan (if you have one) or ring your GP or 999 immediately.
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All questions marked with a * are mandatory

Personal Details
Please double check you've entered the correct email address
May be used to identify you
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Your Asthma
How often does your asthma cause symptoms during the day?: *
How often does your asthma cause symptoms at night?: *
How often does your asthma limit your activities: *
You may also have needed steroid tablets, nebulisers and/or antibiotics.
What triggers your asthma?: *
Inhaler Technique

It is essential to have a good inhaler technique to ensure that your medication gets to the part of your lungs that need it. Please watch the specific inhaler video below to check that you are using your inhalers correctly:

For further information, see these videos.

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Providing NHS Services

Contact

Willow Green Surgery
Station Road
East Preston
West Sussex
BN16 3AH

Telephone: 01903 785152

The Practice

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The Care Quality Commission Inspected and rated Good