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Emollients and Fire Safety
Anima – 4 weeks on from launch
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Armed Forces veteran friendly accredited GP practice
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Emollients and Fire Safety
Anima – 4 weeks on from launch
Home
About Us
About Island City Practice
Armed Forces veteran friendly accredited GP practice
Careers at Island City Practice
Contact
Have your Say
Making the most of your Practice
Medical education
Meet the Team
Island City Practice
Doctors
Nurses
Practice Team
Our Allied Health Professionals
Practice Policies
At the Practice
Data
Patient Record
Patient Rights
Website
Regulations & Governance
Teenage Friendly
Clinics & Services
Appointments, Tests & Referrals
Appointments
Referral for Further Care
Tests & Investigations
Clinics
Anima
Private Medicals
Travel Clinic & Holiday Vaccinations
Online Services
Practice Services
Pharmacy Team
Death Notification Process
Bereavement
Forms
Help & Support
Cancer
Bladder cancer
Brain tumour
Breast cancer
Bowel/Colorectal cancer
Cervical cancer
Head and neck cancer
Liver cancer
Lung cancer
Melanoma and Skin cancer
Ovarian cancer
Pancreatic cancer
Prostate cancer
Stomach cancer
Thyroid cancer
Testicular cancer
Cervical Screening (Smear tests)
Help & Support Organisations
Pharmacy First
Campaigns
Monkeypox
Better Health Every Mind Matters
Better Health Adult Obesity
Long Term Stay
Quit Smoking
We Are Here, Sexual Assault Help
Prescription savings campaign
We Are The NHS
NHS Talking Therapies
Group A Strep
Sickle Cell
Cancer
Better Health Start for Life
Diabetes
Re-housing on medical grounds
St Marys Walk in Centre
Who Do I See?
Submit a
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Submit a request
Island City Practice
>
Forms
>
Health Review Forms
>
Asthma Control Test
>
Adult Control Test for Adult 12+ years
Adult Control Test for Adult 12+ years
Asthma Control Test – Adult
First Name
*
Last Name
*
Email
*
Date of birth
*
Please use format day/month/year e.g. 12/05/1979
Phone Number
*
Control Test Questions
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?
*
All of the time – 1
Most of the time – 2
Some of the time – 3
A little of the time – 4
None of the time – 5
During the last 4 weeks, how often have you had shortness of breath?
*
More than once a day – 1
Once a day – 2
3-6 times a week – 3
1-2 times a week – 4
Not at all – 5
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?
*
4 or more times a week – 1
2-3 nights a week – 2
Once a week – 3
Once or twice – 4
Not at all – 5
During the last 4 weeks, how often have you used your rescue inhaler or nebuliser medication?
*
3 or more times a day – 1
1-2 times a day – 2
2-3 times a week – 3
Once a week or less – 4
Not at all – 5
How would you rate your asthma control during the last 4 weeks?
*
Not controlled – 1
Poorly controlled – 2
Somewhat controlled – 3
Well controlled – 4
Completely controlled – 5
If you are human, leave this field blank.
View Your Score
Close
Emollients and Fire Safety
Anima – 4 weeks on from launch
Home
About Us
About Island City Practice
Armed Forces veteran friendly accredited GP practice
Careers at Island City Practice
Contact
Have your Say
Making the most of your Practice
Medical education
Meet the Team
Island City Practice
Doctors
Nurses
Practice Team
Our Allied Health Professionals
Practice Policies
At the Practice
Data
Patient Record
Patient Rights
Website
Regulations & Governance
Teenage Friendly
Clinics & Services
Appointments, Tests & Referrals
Appointments
Referral for Further Care
Tests & Investigations
Clinics
Anima
Private Medicals
Travel Clinic & Holiday Vaccinations
Online Services
Practice Services
Pharmacy Team
Death Notification Process
Bereavement
Forms
Help & Support
Cancer
Bladder cancer
Brain tumour
Breast cancer
Bowel/Colorectal cancer
Cervical cancer
Head and neck cancer
Liver cancer
Lung cancer
Melanoma and Skin cancer
Ovarian cancer
Pancreatic cancer
Prostate cancer
Stomach cancer
Thyroid cancer
Testicular cancer
Cervical Screening (Smear tests)
Help & Support Organisations
Pharmacy First
Campaigns
Monkeypox
Better Health Every Mind Matters
Better Health Adult Obesity
Long Term Stay
Quit Smoking
We Are Here, Sexual Assault Help
Prescription savings campaign
We Are The NHS
NHS Talking Therapies
Group A Strep
Sickle Cell
Cancer
Better Health Start for Life
Diabetes
Re-housing on medical grounds
St Marys Walk in Centre
Who Do I See?