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Asthma Control Test

Childern 5-11 years

Adults and Childern 12 years or above

How to take the Childhood Asthma Control Test?

-Let your child respond to the first four questions (1 to 4). If your child needs help reading or understanding the question, you may help, but let your child select the response
-Complete the remaining three questions (5 to 7) on your own and without letting your child’s response influence your answers. There are no right or wrong answers.

Have your child complete these questions.

1- How is your asthma today?

(3) Very good

(2) Good

(1) Bad

(0) Very bad

2- How much of a problem is your asthma when you run, exercise or play sports?

(3) It’s not a problem

(2) It’s a little problem but it’s okay

(1) It’s a problem and I don’t like it

(0) It’s a big problem, I can’t do what I want to do

3- Do you cough because of your asthma?

(3) No, none of the time

(2) Yes, some of the time

(1) Yes, most of the time

(0) Yes, all of the time

4- Do you wake up during the night because of your asthma?

(3) No, none of the time

(2) Yes, some of the time

(1) Yes, most of the time

(0) Yes, all of the time

Parent: Please complete the following questions on your own

5- During the last 4 weeks, how many days did your child have any daytime asthma symptoms?

(5) Not at all

(4) 1-3 days

(3) 4-10 days

(2) 11-18 days

(1) 19-24 days

(0) Everyday

6- During the last 4 weeks, how many days did your child wheeze during the day because of asthma?

(5) Not at all

(4) 1-3 days

(3) 4-10 days

(2) 11-18 days

(1) 19-24 days

(0) Everyday

7- During the last 4 weeks, how many days did your child wake up during the night because of asthma?

(5) Not at all

(4) 1-3 days

(3) 4-10 days

(2) 11-18 days

(1) 19-24 days

(0) Everyday

Great, Well-controlled.
Continue with your current asthma management plan that provided by your doctor.

Partly controlled.
Try to see your doctor soon to review your Asthma management plan by Mawid App or click here for more details.

Poorly controlled.
See your doctor as soon as possible to modify your asthma management plan by Mawid App or click here for more details.

* Please select your answer to get Result

Asthma Control Test (ACT) for children over 12 years and adults

Answer each question carefully and remember there are no right or wrong answers

1- 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?

(5) None of the time

(4) A little of the time

(3) Some of the time

(2) Most of the time

(1) All the time

2- During the past 4 weeks, how often have you had shortness of breath?

(5) Not at all

(4) Once or twice a week

(3) to 6 times a week

(2) Once a day

(1) More than once a day

3- 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?

(5) Not at all

(4) Once or twice a week

(3) Once a week

(2) 2 or 3 nights a week

(1) 4 or more nights a week

4- During the past 4 weeks, how often have you used your rescue inhaler or nebulizer medication (such as albuterol)?

(5) Not at all

(4) Once a week or less

(3) 2 or 3 times per week

(2) 1 or 2 times per day

(1) 3 or more times per day

5- How would you rate your asthma control during the past 4 weeks?

(5) Completely controlled

(4) Well controlled

(3) Somewhat controlled

(2) Poorly controlled

(1) Not controlled at all

Great, Well-controlled.
Continue with your current asthma management plan that provided by your doctor.

Partly controlled.
Try to see your doctor soon to review your Asthma management plan by Mawid App or click here for more details.

Poorly controlled.
See your doctor as soon as possible to modify your asthma management plan by Mawid App or click here for more details.

* Please select your answer to get Result

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Last Update : 09 June 2021 02:59 PM

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