Asthma Questionnaire

Please complete the short questionnaire below to update us on your Asthma management.

Asthma Questionnaire

Name*
Date of Birth*
Does your Asthma cause daytime symptoms?*
Does your Asthma limit your activities?*
Does your Asthma affect your sleep?*

Date published: 23rd October, 2018
Date last updated: 4th October, 2019

Helpful links:

NHS Swale CCG

Accessibility
Privacy Notice

Manage Cookie Consent

To make our website work efficiently and to provide our website visitors with a good experience when using the website, we use cookies. Cookies are small data files that are placed on your computer or mobile device when you visit a website. Consenting to cookies will allow us to process data such as browsing behaviour or unique IDs. We only share this data with organisations that provide services to the NHS. Not consenting or withdrawing consent to cookies may adversely affect certain features and functions of our website. Please also see the practice’s privacy policy as this may differ to the GPsurgery.net network privacy policy.

Functional Functional Always active

The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.

Preferences Preferences

The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.

Statistics Statistics

The technical storage or access that is used exclusively for statistical purposes. The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.

Marketing Marketing

The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.

View preferences

Cookie Information Privacy {title}