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Asthma Impairment and Risk Questionnaire (AIRQ)

Measures asthma impairment and risk.

Use in patients ≥12 years who have been diagnosed with asthma.

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 12 months, has coughing, wheezing, shortness of breath, or chest tightness…

Caused you to take steroid pills or shots, such as prednisone or methylprednisolone?

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?

Result:

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