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Zerafil Dosing
Response Assessment
Treatment Initiation
Asthma Control Test (ACT)
Zerafil Dosing
Response Assessment
Treatment Initiation
Asthma Control Test (ACT)
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ACT
Asthma Control Test (ACT)
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1. During the last 4 weeks, how much of the time has your asthma kept you from getting as much done at work, school or home?
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All of the time
Most of the time
Some of the time
A little of the time
None of the time
2. During the past 4 weeks, how often have you had shortness of breath?
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More than once a day
Once a day
3-6 times a week
Once or twice a week
Not at all
3. During the last 4 weeks, how often have your asthma symptoms (wheezing, coughing, shortness of breath, chest tightness or pain) woken you up at night or earlier than usual in the morning?
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≥ 4 nights a week
2-3 nights a week
Once a week
Once or twice
Not at all
4. During the past 4 weeks, how often have you used your rescue inhaler or nebulizer medication (such as albuterol)?
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≥ 3 times per day
1-2 times per day
2-3 times per week
≤ 1 per week
Not at all
5. How would you rate your asthma control during the past 4 weeks?
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Not controlled at all
Poorly controlled
Somewhat controlled
Well-controlled
Completely controlled
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