Asthma Control Test for Children aged 4-11

Name of Parent/Guardian *
Email of Parent/Guardian *

Asthma Control Questions for the Child

Let your child respond to the first four questions. If your child needs help in reading or understanding the question, you may help, but let your child select the response.

1. How is your asthma today?Very Bad (0)Bad (1)Good (2)Very Good (3)

2. How much of a problem is your asthma when you run, exercise or play sports?It is a big problem, I cannot do what I want to do (0)It is a problem and I do not like it (1)It is a little problem but it is okay (2)It is not a problem (3)

3. Does your asthma make you cough?Yes, all the time (0)Yes, most of the time (1)Yes, sometimes (2)No, never (3)

4. Does your asthma make you wake up during the night?Yes, all the time (0)Yes, most of the time (1)Yes, sometimes (2)No, never (3)

Asthma Control Questions for the Parent/Guardian

Complete the remaining three questions on your own and without letting your child's responses influence your answers. There are no right or wrong answers.

5. During the last 4 weeks, how many days did your child have any daytime asthma symptoms?None (5)1 to 3 days (4)4 to 10 days (3)11 to 18 days (2)19 to 24 days (1)Every day (0)

6. During the last 4 weeks, how many days did your child wheeze during the day because of asthma?None (5)1 to 3 days (4)4 to 10 days (3)11 to 18 days (2)19 to 24 days (1)Every day (0)

7. During the last 4 weeks, how many days did your child wake up during the night because of asthma?None (5)1 to 3 days (4)4 to 10 days (3)11 to 18 days (2)19 to 24 days (1)Every day (0)

View the Score

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