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DOCTOR DISCUSSION GUIDE

PERSONALIZE YOUR GUIDE

Answer the questions below and create your own personalized guide.

Can’t fill out your guide now?

This personalized guide takes
approximately 2-5 minutes to complete and is 6 questions.

Are you a patient or
a caregiver?

Select one.

Question 1 of 6

How long has your loved one been affected by asthma?

How long have you been affected by asthma?

Select one.

Question 2 of 6

What treatments has your loved one been prescribed for asthma?

What treatments have you been prescribed for asthma?

Select all that apply.

Medication taken via injection
Any type of treatment not listed here

Keep going, your personalized guide is almost complete! You're doing great.

Question 3 of 6

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?

Select all that apply.

Question 4 of 6

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

In the past year, my asthma has resulted in:

Select all that apply.

Question 5 of 6

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

Have you noticed any of the following asthma triggers?

Select all the apply.

Question 6 of 6

Does your loved one have any specific treatment goals?

Do you have any specific treatment goals?

Select all that apply.

Find A Nearby Specialist who treats ASTHMA

Use this HealthgradesTM tool to easily find nearby specialists with experience in treating children, teens, and adults with uncontrolled moderate-to-severe eosinophilic or oral steroid–dependent asthma.

City, State, or ZIP Code

YOUR PERSONALIZED GUIDE IS READY

We've gathered your answers in a personalized guide that you can save by choosing an option below. You can save the results of this page for easy referral by adding it to your bookmarks.

Please remember that this is intended to be a helpful way for you to prepare for your conversation with your provider, but should not replace a full conversation with your provider.

APPOINTMENT REMINDER

Let’s set an appointment on your calendar to remind you of your next doctor’s visit. It will include a link to your personalized discussion guide for easy reference, which will help you lead a productive conversation with your doctor.

Next Steps

SOME QUESTIONS TO ASK YOUR DOCTOR

  • How is DUPIXENT different
    from other treatment options?
  • How does DUPIXENT work?
  • How would I take DUPIXENT?
  • How do I get started with DUPIXENT?
  • What are the possible side effects of DUPIXENT?
  • How can DUPIXENT help treat my uncontrolled moderate-to-severe asthma?
  • Should I undergo any biomarker testing for my type of asthma?

NOTES

Add any additional notes to discuss with your doctor.







WHY LET ASTHMA HOLD YOU BACK?

Before you meet with your healthcare professional, learn a little more about DUPIXENT. View the results of clinical trials in patients 12+ years or children 6-11 years.