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Asthma Symptom Diary
Name
Date of birth
Asthma diary for the week of
Persistent Asthma Symptoms
Use a checkmark to show what reoccurring symptoms you had and when.
DateWheezeCoughShortness of BreathAMPMTriggersSponsored
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What is asthma symptom diary?
Asthma symptom diary is a tool used to keep track of daily asthma symptoms, triggers, medications, and peak flow readings.
Who is required to file asthma symptom diary?
Individuals with asthma or caregivers of children with asthma are required to keep and maintain an asthma symptom diary.
How to fill out asthma symptom diary?
To fill out an asthma symptom diary, one should record daily symptoms, triggers, medications taken, peak flow readings, and any notes on asthma management.
What is the purpose of asthma symptom diary?
The purpose of an asthma symptom diary is to help monitor asthma symptoms, identify triggers, track medication effectiveness, and improve asthma management.
What information must be reported on asthma symptom diary?
Information such as daily symptoms, triggers, medication usage, peak flow readings, notes on asthma attacks, and any changes in asthma management must be reported on an asthma symptom diary.
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