Asthma is a chronic disease that affects your airways.

• Several triggers found in our environment and in our home can lead to asthma symptoms.
• Several of these triggers can be controlled to help decrease asthma episodes.
• Asthma cannot be cured, but most people with asthma can control it so that they have fewer and infrequent symptoms and can live active lives.

Approximately 15 million persons have asthma, including 3.5 million children under the age of 15.
Take this brief questionnaire to determine your risks for developing Asthma. Please note that all questions must be answered to properly calculate your risk.

Do you have a frequent cough?

 Yes

 No

Have you experienced wheezing or the inability to catch your breath?

 Yes

 No

Do you have food allergies?

 Yes

 No

Do you have upper airway symptoms that worsen at specific times of the year?

 Yes

 No

Do you have eczema or psoriasis?

 Yes

 No

Have you had to stop performing any activity due to shortness of breath?

 Yes

 No

Have you missed any work or school days due to shortness of breath?

 Yes

 No

Do you have pets?

 Yes

 No

Do you have carpets in your home?

 Yes

 No

Do you smoke?

 Yes

 No

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