COPD Questionnaire

This questionnaire will help you and your healthcare professional measure the impact COPD (Chronic Obstructive Pulmonary Disease) is having on your wellbeing and daily life. Your answers, and test score, can be used by your healthcare professional to help improve the management of your COPD and get the greatest benefit from treatment.

For each item below, please rate between 0 and 5 which best describes you currently.

"*" indicates required fields

Step 1 of 3

Date of Birth*