Follow-Up AIRQ®
Please answer all of the questions below, and click “CALCULATE SCORE” when complete. You will have an opportunity to print or save your results, which should be shared with your health care provider.
In the past 2 weeks has coughing, wheezing, shortness of breath, or chest tightness:
1 OF
In the past 2 weeks has coughing, wheezing, shortness of breath, or chest tightness:
Bothered you during the day on more than 4 days?
2 OF
In the past 2 weeks has coughing, wheezing, shortness of breath, or chest tightness:
Woke you up from sleep more than 1 time?
3 OF
In the past 2 weeks has coughing, wheezing, shortness of breath, or chest tightness:
Limited the activities you want to do every day?
4 OF
In the past 2 weeks has coughing, wheezing, shortness of breath, or chest tightness:
Caused you to use your rescue inhaler or nebulizer every day?
.jpg)
5 OF
In the past 2 weeks:
Did you have to limit your social activities (such as visiting with friends/relatives or playing with pets/children) because of your asthma?
6 OF
In the past 2 weeks:
Did coughing, wheezing, shortness of breath, or chest tightness limit your ability to exercise?
7 OF
In the past 2 weeks:
Did you feel that it was difficult to control your asthma?
8 OF
In the past 3 months, has coughing, wheezing, shortness of breath, or chest tightness:
Caused you to take steroid pills or shots, such as prednisone or Medrol®*?
9 OF
In the past 3 months, has coughing, wheezing, shortness of breath, or chest tightness:
Caused you to go to the emergency room or have unplanned visits to a health care provider?
10 OF
In the past 3 months, has coughing, wheezing, shortness of breath, or chest tightness:
Caused you to stay in the hospital overnight?
REVIEW
In the past 2 weeks has coughing, wheezing, shortness of breath, or chest tightness:
Bothered you during the day on more than 4 days?
Woke you up from sleep more than 1 time?
Limited the activities you want to do every day?
Caused you to use your rescue inhaler or nebulizer every day?
In the past 2 weeks:
Did you have to limit your social activities (such as visiting with friends/relatives or playing with pets/children) because of your asthma?
Did coughing, wheezing, shortness of breath, or chest tightness limit your ability to exercise?
Did you feel that it was difficult to control your asthma?
In the past 3 months, has coughing, wheezing, shortness of breath, or chest tightness:
Caused you to take steroid pills or shots, such as prednisone or Medrol®*?
Caused you to go to the emergency room or have unplanned visits to a health care provider?
Caused you to stay in the hospital overnight?
Please answer all the questions to be able to
calculate the overall score.
The score is calculated from the total number of YES responses from the questions above
MY RESULTS
What does my AIRQ® score mean?
The AIRQ® is meant to help your health care providers talk with you about your asthma control. The AIRQ® does not diagnose asthma. Whatever your AIRQ® score (total YES answers), it is important for your health care team to discuss the number and answers to each of the questions with you. All patients with asthma, even those who may be well-controlled, can have an asthma attack. As asthma control worsens, the chance of an asthma attack increases.1 Only your medical provider can decide how best to assess and treat your asthma.
1Global Strategy for Asthma Management and Prevention: ©2022 Global Initiative for Asthma
HOW TO GET MY RESULTS
WANT ADDITIONAL ASTHMA RESOURCES?
Access additional asthma resources to help you partner with your asthma care team to create an optimal treatment plan.
*Medrol® (Pfizer, Inc.) or methylprednisolone
The trademarks depicted above are the property of their respective owners.
©2022 AstraZeneca. All rights reserved. US-61954 Last Updated 3/22
The trademarks depicted above are the property of their respective owners. ©2020 AstraZeneca. All rights reserved. US-61954 Last Updated 3/22