Get the free Childhood Asthma Control Test (ACT): Children 4 to 11 Years

Have your CHILD complete the following questions: Parents, please complete the following questions: Please turn this form over for additional questions.

How to fill out childhood asthma control test

How to fill out childhood asthma control test

1. Start by gathering all necessary information about the child's asthma history, symptoms, and current medications.
2. Use the Childhood Asthma Control Test (C-ACT) form, which includes seven questions related to the child's asthma symptoms and daily activities.
3. Read each question carefully and select the appropriate answer based on the child's condition. Each question has a 5-point scale, ranging from 'No symptoms' to 'Severe symptoms'.
4. Add up the scores for each question to get a total score out of 27.
5. Interpret the score using the provided guidelines. Scores 20 or above indicate well-controlled asthma, scores 16 to 19 indicate partially controlled asthma, and scores below 16 indicate poorly controlled asthma.
6. Document the total score and interpretation for future reference and to track changes over time.
7. Discuss the results with the child's healthcare provider to determine the most appropriate treatment plan and adjustments to current medications.
8. Repeat the Childhood Asthma Control Test periodically to monitor the child's asthma control and adjust the treatment plan as needed.

Who needs childhood asthma control test?

1. Children who have been diagnosed with asthma are potential candidates for the Childhood Asthma Control Test.
2. It is particularly useful for children who are currently on asthma medication or are experiencing symptoms of asthma.
3. Parents, caregivers, or healthcare providers who want to assess the level of asthma control in a child can also use the test.
4. Regular use of the Childhood Asthma Control Test can help in monitoring the effectiveness of the treatment plan and make adjustments accordingly.

For pdfFiller’s FAQs

How do I modify my childhood asthma control test in Gmail?

The pdfFiller Gmail add-on lets you create, modify, fill out, and sign childhood asthma control test and other documents directly in your email. Click here to get pdfFiller for Gmail. Eliminate tedious procedures and handle papers and eSignatures easily.

How do I make edits in childhood asthma control test without leaving Chrome?

Install the pdfFiller Google Chrome Extension in your web browser to begin editing childhood asthma control test and other documents right from a Google search page. When you examine your documents in Chrome, you may make changes to them. With pdfFiller, you can create fillable documents and update existing PDFs from any internet-connected device.

Can I edit childhood asthma control test on an Android device?

You can make any changes to PDF files, like childhood asthma control test, with the help of the pdfFiller Android app. Edit, sign, and send documents right from your phone or tablet. You can use the app to make document management easier wherever you are.

What is childhood asthma control test?

The childhood asthma control test is a tool used to assess asthma control in children aged 4-11 years old.

Who is required to file childhood asthma control test?

Parents or guardians of children with asthma are required to fill out the childhood asthma control test.

How to fill out childhood asthma control test?

To fill out the childhood asthma control test, parents or guardians must answer questions about the child's asthma symptoms, medication use, and impact on daily activities.

What is the purpose of childhood asthma control test?

The purpose of the childhood asthma control test is to help healthcare providers evaluate the child's asthma control and make appropriate treatment decisions.

What information must be reported on childhood asthma control test?

The childhood asthma control test requires information on asthma symptoms, medication use, and how asthma impacts the child's daily activities.