Student Breathing Asthma Questionnaire
with coughing, wheezing, or a hard time breathing? Yes No. If yes, how often. do you wake up with coughing, wheezing, or breathing problems? Two times a month or less 1-3 times a week 4 or more times a week. What trigger your asthma/breathing problems or makes it worse? (Check all that apply) Smoke Strong smells / perfume / cleaning products ................
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