We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Asthma Control Test Pdf

Get Asthma Control Test Pdf

Patient 's NameDatePatient 's DOBKP MRNFOR PATIENTS:Take the Asthma Control TestTM (ACT) for people 12 years and older. Know your score. Share your results with your doctor.Step 1 Write the number.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Asthma Control Test Pdf online

The Asthma Control Test Pdf is an essential tool for individuals aged 12 and older to assess their asthma control. This guide provides clear instructions on how to fill out the form online, ensuring you can easily share your results with your healthcare provider.

Follow the steps to complete the Asthma Control Test Pdf online.

  1. Click the ‘Get Form’ button to access the Asthma Control Test Pdf and open it in your preferred editor.
  2. In the provided score boxes, enter the number corresponding to your answer for each question. Make sure to answer each of the five questions based on your experiences over the past four weeks.
  3. Carefully sum the scores you wrote down in the score boxes to calculate your total score. This total will help you evaluate your asthma control level.
  4. Once you have recorded your total score, consider how it reflects your asthma condition. A score of 19 or less may indicate that your asthma is not well controlled, and you should discuss this with your doctor.
  5. After completing the test, you can save your changes, download the filled form, print it out, or share it directly with your healthcare provider.

Complete your documents online with ease and ensure your asthma is effectively managed.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Asthma Control Test-Adult - DPHHS
Take the Asthma Control TestTM (ACT) for people 12 yrs and older. Know your score. Share...
Learn more
Asthma Control Test - NZGP Web Directory
J Allergy Clin Immunol. 2004;113:59-65. If your score is 19 or less, your asthma may not...
Learn more
Beta blocker - Wikipedia
Beta blockers are a class of medications that are predominantly used to manage abnormal...
Learn more

Related links form

Alliance Vendor Profile Form (Short Form) Form 1 L Lwt 2020 Chuna Sacco Draft Chase Complaint Amended - Insight.rpxcorp.com

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Asthma Control Test (ACT) A score between 20 and 25 represents well controlled asthma, while a score of 19 or below represents not well controlled asthma, and a score less than 16 indicates very poorly controlled asthma. The minimally important clinical difference has been determined to be 3 points.

The scores range from 5 (poor control of asthma) to 25 (complete control of asthma), with higher scores reflecting greater asthma control. An ACT score >19 indicates well-controlled asthma.

A simple questionnaire to measure the adequacy of asthma control and change in asthma control which occurs either spontaneously or as a result of treatment. Scores range between 0 (totally controlled) and 6 (severely uncontrolled).

Conclusion: Changes in TRACK scores of 10 or more points represent clinically meaningful changes in respiratory control status in individual young children with respiratory symptoms consistent with asthma and should alert health care providers to re-evaluate asthma management.

There are four key symptoms that you should monitor to help you keep your asthma under control: Daytime Symptoms. How often do you have asthma symptoms during the day, such as coughing, wheezing, chest tightness or shortness of breath? Nighttime Symptoms. ... Quick-Relief or Rescue Inhaler Use. ... Activity Level.

A maximum score of 25 points indicates complete asthma control. A score between 20 and 25 represents well controlled asthma, while a score of 19 or below represents not well controlled asthma, and a score less than 16 indicates very poorly controlled asthma.

The Asthma Control Test â„¢will provide you with a snapshot of how well your asthma has been controlled over the last 4 weeks, giving you a simple score out of 25. Asthma symptoms can vary from month to month, so it worth keeping the test handy to see if your score changes.

The scores range from 5 (poor control of asthma) to 25 (complete control of asthma), with higher scores reflecting greater asthma control. An ACT score >19 indicates well-controlled asthma.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Asthma Control Test Pdf
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232