Welcome to the Breathing Better with Asthma - Initial Patient Self-Assessment. This questionnaire will take approximately 15 minutes to complete. You will need to complete this questionnaire in a single session as it can not be saved and completed later. By completing this questionnaire your pharmacist will be able to better understand your asthma to better inform you or recommend changes that will benefit you in managing your asthma. Your responses are strictly confidential and will only be used by the pharmacist providing asthma consultations with you.
Once the questionnaire is finished please click submit. A copy of the questions and your responses will be e-mailed to you.
We have updated our privacy commitment and are now collecting cookies to provide you with ads tailored to your interest across the internet. For more information about cookies and how to disable cookies, visit our privacy commitment.Learn more