Your life. Your plan.
My asthma appointment questions
Use this to prepare questions. Keep the clinician’s asthma action plan separately; this worksheet does not replace it.
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What I want to do
Activities, sleep and everyday things affected by breathing.
What has changed
Symptoms, when they happen and what seems to make them worse.
My inhalers and equipment
Names, devices and anything difficult about using them.
The support I need
Communication, demonstrations, practice and help between appointments.
My plan and supplies
Who will update my clinical action plan and arrange medicines or training?
Review and contacts
My next review, who answers questions and where my emergency plan is kept.