TABLE 1.
1. Has your child ever had wheezing or a whistling sound in the chest? | Yes □ | No □ |
1a. If yes, has this been in the past 12 months? | Yes □ | No □ |
2. Has your child ever had breathing problems (coughing, wheezing, whistling in the chest, shortness of breath, chest tightness) when he/she first woke up in the morning? | Yes □ | No □ |
2a. If yes, has this been in the past 12 months? | Yes □ | No □ |
3. Has your child ever had breathing problems (coughing, wheezing, whistling in the chest, shortness of breath, chest tightness) that woke him/her up at night? | Yes □ | No □ |
3a. If yes, has this been in the past 12 months? | Yes □ | No □ |
4. Has a doctor ever said your child has asthma? | Yes □ | No □ |
4a. If yes, has this been in the past 12 months? | Yes □ | No □ |
5. Has your child ever taken asthma medicine (pills, inhaler, or puffers) prescribed by a doctor? | Yes □ | No □ |
5a. If yes, has this been in the past 12 months? | Yes □ | No □ |
Probable asthma, yes to questions 4 and 5a; possible asthma, yes to ≥1 question; negative for asthma, no to all questions.