1 - 10 years
11 - 25 years
26 - 45 years
> 45 years
Have you experienced any of these symptoms during last
3 months ?
If you have experienced any of the above symptoms, then were they triggered or aggravated by any of these factors?
Have you suffered with any of the above
mentioned complaints earlier?
Yes
No
Do you have a family history of
Asthma/ allergy?
Have you ever been prescribed
bronchodilators like salbutamol, terbutaline and theophylline
for prolonged bouts of dry cough by your
doctor?
Yes
No
Have you been advised for
Spirometry test by your doctor?
Yes
No
If yes, then what was your
reading of Peak expiratory flow rate (PEFR)
< 400 L /min
400 - 450 L /min
> 450 L /min
Thanks for taking time to fill the details.
Now all you have to do is press submit and I will calculate how much you are at risk. Best of Luck!
