The Asthma Impairment and Risk Questionnaire (AIRQ®) is a patient assessment tool intended to help identify whether your health is at risk because of uncontrolled asthma.
This assessment is based on a series of questions about asthma medication, respiratory symptoms, and healthcare resource usage. You will receive a score reflecting your level of asthma control.
After completing the AIRQ® Questionnaire, you and your doctor should discuss the responses to each of the individual questions, the total AIRQ® score, and your level of asthma control as you form a management plan. To help with this, you can download the AIRQ® score tracker to bring to your doctor.
The AIRQ® is NOT intended to:
**AIRQ IFRAME PLACEHOLDER**
For use by health care providers with their patients 12 years and older who have been diagnosed with asthma. AIRQ® is intended to be part of an asthma clinic visit.
Please answer all of the questions below.
Click Calculate Score.
Print or save your results — and share them with your health care provider.
For use by health care providers with their patients 12 years and older who have been diagnosed with asthma. AIRQ ® is intended to be part of an asthma clinic visit.
Please answer all of the questions below.
Click Calculate Score.
Print or save your results — and share them with your health care provider.
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 wanted 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?
Please see all prescribing information for all products.
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 12 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 12 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 12 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 wanted 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 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?
What Does My AIRQ® Score Mean?
The AIRQ® is meant to help your healthcare 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 healthcare 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: ©2020 Global Initiative for Asthma
When your asthma is well-controlled, you experience few symptoms during the day and night and can do daily activities without difficulty. If you need help finding an asthma specialist to help you take control, our Doctor Finder tool can help.
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