Asthma Questionnaire

As part of your asthma care it is important that you have an annual review to assess the effectiveness of your treatment and any symptoms or problems that you may be having. Preferably this is done in our respiratory clinic and we would like to invite you to make an appointment, but if you cannot attend please complete and return this questionnaire to the surgery.

Smoking is the biggest cause of preventable deaths in England, accounting for more than 80,000 deaths each year. One in two smokers will die from a smoking-related disease.(https://www.nhs.uk/smokefree)

One year after stopping, the risk of a heart attack falls to about half that of a smoker. Within 15 years the risk falls to a level similar to that of a person who has never smoked. If smokers quit before the age of 30 they can avoid almost all of the risk of lung cancer attributable to smoking. (http://ash.org.uk/category/information-and-resources/fact-sheets)

If you would like help to stop smoking, please visit www.livewelldorset.co.uk or call 0800 840 1628 You will be offered advice and treatment in the form of nicotine replacement, or alternative medication which may improve your chances of successfully quitting.

The Respiratory Nurse will assess your responses and you may be contacted if there is cause for concern. In the meantime, if you have any concerns regarding your symptoms or treatment, please contact the surgery and ask to speak to the Respiratory Nurse.