In the last month have you had difficulty sleeping due to your asthma (including cough)?

Have you had your usual asthma symptoms (e.g., cough, wheeze, chest tightness, shortness of breath) during the day?

Has your asthma interfered with your usual daily activities (e.g., school, work, housework)?

Do you keep a peak flow diary?

Since your last review, have you needed to see a doctor as an emergency or attend the A&E department of a hospital as a result of your asthma?

Do you take any other medication to manage your Asthma/triggers i.e. antihistamines

Since your last review, have you needed a course of steroid tablets to get your asthma under control?

Did you have a flu vaccination last flu season?

Do you have any occupational exposure to dust, chemicals etc?

Is there any family history of any lung conditions?