Table 1. Asthma Control Test (ACT).

	1 points	2 points	3 points	4 points	5 points
Everyday restriction	In the past 4 weeks. how much of the time did your asthma keep you from getting as much done at work. school or at home?
	All of the time	Most of the time	Some of the time	A little of the time	None of the time
Daytime complaints	During the past 4 weeks. how often have you had shortness of breath?
	More than _once a day	Once a day	3 to 6 times _a week	Once or twice_ a week	Not at all
Nighttime complaints	During the past 4 weeks. how often did your asthma symptoms (wheezing. coughing. shortness of breath. chest tightness or pain) wake you up at night or earlier than usual in the morning?
	4 or more nights a week	2 or 3 nights a week	Once a week	Once or twice	Not at all
Rescue inhaler use	During the past 4 weeks. how often have you used your rescue inhaler or nebulizer medication (such as albuterol)?
	3 or more times per day	1 or 2 times per day	2 or 3 times per week	Once a week or less	Not at all
Subjective assessment	How would you rate your asthma control during the past 4 weeks?
	Not controlled at all	Poorly controlled	Somewhat controlled	Well controlled	Completely controlled

In the ACT (4) five questions must be answered. and between 1 and 5 points are assigned per answer. There is thus a maximum score of 25. The definition established by the European Respiratory Society and the American Thoracic Society in 2014 defines severe asthma as a score under 20 during high-dose ICS (inhaled corticosteroid) therapy with an additional controller or during oral corticosteroid therapy for more than 6 months per year