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. 2020 Jun 17;8(8):2592–2599.e3. doi: 10.1016/j.jaip.2020.06.001

Table E1.

Survey questions and response options

Q1. Does your Pediatric Asthma clinic continue to run physically?
 Yes
 No
Q2. Has the number of evaluated cases changed in the last month?
 Increased
 Stable
 Decreased
Q3. Has the planned monitoring frequency of patients changed?
 No
 More frequently
 Less frequently
 Currently unstable/unknown
Q4. Do you offer a virtual (online or telephone) clinic/consultation?
 Yes
 No
Q5. In the last few weeks, has the number of evaluated cases
 Increased?
 Remain stable?
 Decreased?
Q6. Approximately how many patients do you see per week (number)?
 Number: _______
Q7. Has the type/severity/priority of patients changed?
 No
 Yes—more severe
 Yes—patients receiving biologicals only
 Yes—other priority please specify
Q8. Which of the following methods do you use to monitor your patients?
 A standardized questionnaire
 An asthma control test (ACT, ACQ, other)
 Peak flow meter reading
 Portable spirometer reading
 Adherence evaluation
 Diary cards
 Symptom-recording app/telemedicine platform
 Other (please specify)
Q9. What has been your experience with your virtual clinic so far?
 As good as the face-to-face clinic
 Somehow compromised but still okay
 Only viable for a short period of time
 Unsatisfactory—low-quality medical service
 Other (please specify): _______
Q10. Do you offer a helpline for your pediatric asthma patients?
 Yes
 No
Q11. If you do not offer physical or virtual clinic, please describe expectations/plans around pediatric asthma patients in the near future.
 Free text: __________
Q12. Do you actively send advice to your asthma patients?
 No
 By email
 Through social media
 Through website
Q13. In the last few weeks have you received any new patients?
 No
 Yes—a few
 Yes—several
Q14. If yes, how many new patients do you receive every week, during the COVID-19 pandemic?
 Number: _____
Q15. In your asthma clinic, do you have any patients receiving biologicals?
 Yes
 No
Q16. If yes, how many?
 Number: _____
Q17. Do they continue their regular dosage?
 Yes
 No—stopped
 No—reduced frequency
Q18. Has any of your pediatric asthma patients had confirmed COVID?
 No
 Yes
Q19. If yes, approximately how many?
 Number: _____
Q20. Their symptoms at presentation included:
 Runny/blocked nose. Percentage: _____
 Cough. Percentage: _____
 Wheeze. Percentage: _____
 Shortness of breath. Percentage: _____
 Fever. Percentage: _____
 Nonrespiratory symptoms/other. Percentage: _____
Q21. Their clinical course in regard to their asthma has been:
 Mild. Percentage: _____
 Moderate (treated at home). Percentage: _____
 Severe exacerbation (emergency visit or hospital admission). Percentage: _____
 Required ICU admission or intubation. Percentage: _____
 Death. Percentage: _____
Q22. Has any of your pediatric asthma patients had suspected, but not confirmed COVID?
 No
 Yes
Q23. If yes, approximately how many?
 Number: _____
Q24. Their symptoms at presentation included:
 Runny/blocked nose. Percentage: _____
 Cough. Percentage: _____
 Wheeze. Percentage: _____
 Shortness of breath. Percentage: _____
 Fever. Percentage: _____
 Nonrespiratory symptoms/other. Percentage: _____
Q25. Their clinical course in regard to their asthma has been:
 Mild. Percentage: _____
 Moderate (treated at home). Percentage: _____
 Severe exacerbation (emergency visit or hospital admission). Percentage: _____
 Required ICU admission or intubation. Percentage: _____
 Death. Percentage: _____
Q26. In the last month, approximately how many patients have you monitored (either physically or virtually)?
 Number: _____
Q27. From the patients you have monitored, what is the proportion with
 Well-controlled asthma. Percentage: _____
 Partially controlled asthma. Percentage: _____
 Uncontrolled asthma. Percentage: _____
Q28. How does this compare with your expectations for the same patients?
 As expected. Percentage: _____
 Better that expected. Percentage: _____
 Worse than expected. Percentage: _____
Q29. What was the proportion of patients with regard to treatment changes?
 Increased treatment. Percentage: _____
 Continued treatment. Percentage: _____
 Decreased treatment. Percentage: _____
Q30. Is availability or access to medication an issue?
 Yes
 No
Q31. Have you observed changes in adherence to controller medications?
 No changes in adherence. Percentage: _____
 Increased adherence. Percentage: _____
 Reduced adherence. Percentage: _____
 Any comment on adherence changes? _____
Q32. Number of your patients (approximately) who have suffered an exacerbation during the last month and treated at outpatients (independent of COVID)?
 Number: _____
Q33. Number of your patients (approximately) who have suffered an exacerbation during the last month and were hospitalized (independent of COVID)?
 Number: _____
Q34. In which country do you practice?
Q35. In what setting do you practice?
 Tertiary/university hospital
 Secondary hospital
 Primary care
 Community center
Q36. Your email (optional)
Q37. Your name (optional)

ACQ, Asthma Control Questionnaire; ACT, Asthma Control Test; ICU, intensive care unit.