Asthma Annual Review Questionnaire

We offer all of our Asthma patients an annual review. It may not be necessary for you to attend the surgery for this review. Please answer the questions on the form below and return it to the Practice.

If your symptoms are deteriorating or you have any concerns, please make an appointment with the Respiratory Nurse.

Asthma Annual Review Questionnaire

It is essential to have a good inhaler technique to ensure that your medication gets to the part of your lungs that need it. Please watch the specific inhaler video by following the link below to check that you are using your inhalers correctly:

For further information, see:


For further information, please see:


The Asthma Control Test provides a score to help you and your healthcare provider determine if your asthma symptoms are well controlled.

If you are 12 years or older, please complete the questions below:


THE NEXT STEP - Your completed Asthma Questionnaire will now be reviewed by a Health Care Professional, and we will be in touch again once this has taken place. Should we need to review your treatment &/or control we will be in contact to arrange a face-2-face in our Asthma Clinic or telephone appointment, as appropriate.

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key known only to the GP practice and is accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

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Angels Home Care Intergrated Dental Holdings Ltd Newton Abbot Chiropractic Centre Ltd