Asthma Questionnaire

Asthma Symptoms Questionnaire

If you have been invited for your annual asthma review please contact us to make an appointment. However, if you  feel your asthma is well managed then please download a questionnaire here & either return via email or return directly to the Surgery.

If you answer ‘YES’ to any of the questions, we strongly advise you to book an asthma review at your earliest convenience with one of our asthma nurses.

Email Address to return your completed questionnaire:

(This e-mail address is only for returning completed questionnaires & cannot be used medical advice. The practice is unable to to respond to any queries relating to this. If you require medical advice, please contact us on the surgery telephone number.)