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Asthma Impairment and Risk Questionnaire (AIRQ®) Calculator
Asthma Impairment and Risk Questionnaire (AIRQ®) Calculator
1. Bothered you during the day on more than 4 days (In the past 2 weeks)?
*
Yes
No
2. Woke you up from
sleep
more than 1 time (In the past 2 weeks)?
*
Yes
No
3. Limited the activities you want to do every day (In the past 2 weeks)?
*
Yes
No
4. Caused you to use your rescue inhaler or nebulizer every day(In the past 2 weeks)?
*
Yes
No
5. Did you have to limit your social activities (such as visiting with friends/relatives or playing with pets/children) because of your asthma (In the past 2 weeks)?
*
Yes
No
6. Did coughing, wheezing, shortness of breath, or chest tightness limit your ability to exercise (In the past 2 weeks)?
*
Yes
No
7. Did you feel that it was difficult to control your asthma (In the past 2 weeks)?
*
Yes
No
8. Caused you to take
steroid
pills or shots, such as prednisone or Medrol (In the past 12 months)?
*
Yes
No
9. Caused you to go to the emergency room or have unplanned visits to a health care provider (In the past 12 months)?
*
Yes
No
10. Caused you to stay in the hospital overnight (In the past 12 months)?
*
Yes
No
AIRQ Score
If you are human, leave this field blank.
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