Main Street Empingham LE15 8PR   01780 460202

Asthma review

If you have been advised by the surgery to submit an annual review of your asthma symptoms please use the form below. If your symptoms are deteriorating or you are having any concerns please make an appointment with our Nurse.

Asthma review

How often in the last 4 weeks did your asthma prevent you from getting as much work done at work/school/home?
How often in the last 4 weeks have you had shortness of breath?
How often in the last 4 weeks did your asthma symptoms wake you up at night or early in the morning?
How often in the last 4 weeks have you used your reliever inhaler (usually blue)?
How would you rate your asthma control?
Can you identify any triggers to your asthma symptoms?
Since your last review, have you needed a course of steroid tablets to get your asthma under control?
Since your last review, have you needed to see a doctor as an emergency or attended the A&E department of a hospital as a result of your asthma?
Smoking status
Please note that the details you give will be used to update your medical records.
Do you feel your inhaler technique is:
Would you like a personalised asthma action plan?
Do you need to speak to a Nurse regarding your asthma?

Useful signposts

Be inspired by a variety different wellbeing tips and techniques to help you lead a positive and healthy life.

Activities, support and resources for adults and families, and for young people with special needs.

Read the latest rules and guidelines to help you stay safe during the Coronavirus pandemic.

An opportunity for local people to have a powerful voice on the health and social care services they use.