DOCTOR DISCUSSION GUIDE

How long has your loved one been affected by asthma?

How long have you been affected by asthma?

What treatments has your loved one been prescribed for asthma?

What treatments have you been prescribed for asthma?

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In the last 3 months, has your loved one experienced any of the following asthma symptoms?

In the last 3 months, have you experienced any of the following asthma symptoms?

In the past year, my loved one's asthma has resulted in:

In the past year, my asthma has resulted in:

Has your loved one noticed any of the following asthma
triggers?

Have you noticed any of the following asthma triggers?

Does your loved one have any specific treatment goals?

Do you have any specific treatment goals?