en English

Childhood Asthma Control Test

How to take the Childhood Asthma Control Test

Step 1
Complete the information fields at the beginning of the form.

Step 2
Let your child respond to the first four questions (1 to 4). If your child needs help reading or understanding the question, you may help, but let your child select the response. Complete the remaining three questions (5 to 7) on your own and without letting your child’s response influence your answers. There are no right or wrong answers.

Step 3
Your scores will be automatically calculated and the total will appear at the bottom of the form.

Step 4
Submit the form. A copy of the form will be emailed to you and a copy will be sent to the doctors office.

 

19If your child’s score is 19 or less, it may be a sign that your child’s asthma is not controlled as well as it could be. No matter what the score, bring this test to your doctor to talk about your child’s results 

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

Have your child complete these questions.

Invalid Input
Invalid Input
Invalid Input
Invalid Input

Please complete the following questions on your own.

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

Further information

Zero Tolerance Statement

Our staff come to work to care for others, and it is important for all members of the public and our staff to be treated with respect.
We aim to treat our patients courteously at all times and expect our patients to treat our staff in a similary way.

We take seriously any threatening, abusive or violent behaviour againist any of our staff or patients. if a patient is violent or abusive, they will be asked to stop. if they persist, we may exercise our rights to take action to have them removed, immediately if necessary from our pratice list.

The practice considers thratening behaviour to be:

Attempted or actual aggressive threatening physical actions made towards any member of staff.
The use of aggressive, threatening or abusive language, (including raising of the voice, swearing and cursing, shouting) which threatens or intimidates staff.
In line with the rest of the NHS, and to ensure this is fully observed we have a Zero Tolerance policy in place, whereby any aggressive or violent behaviour towards our staff will not be tolerated under any circumstances.

Anyone giving verbal abuse to members of the staff will be sent a letter from the Practice stating that this behaviour will not be tolerated and may result in the removal from the Practice patient list. There will be no appeal process.

We hope that you will understand and welcome this policy which is in place for the best interest of our hard working staff as well as our patients.

Call 111 Logonhs choices

Produced by Cypher Media