Questions | Most appropriate option | Score |
1. In the past 4 weeks how much of the time did your asthma keep you from getting as much done at work, school or at home? | ||
All the time | 1 | |
Most of the time | 2 | |
Some of the time | 3 | |
A little of the time | 4 | |
None of the time | 5 | |
2. During the past 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 | |
Once or twice a week | 4 | |
Not at all | 5 | |
3. During the past 4 weeks, how often did your asthma symptoms (wheezing, coughing, shortness of breath, chest tightness or pain) wake you up at night or earlier than usual in the morning? | ||
≥4 nights a week | 1 | |
2–3 nights a week | 2 | |
Once a week | 3 | |
Once or twice | 4 | |
Not at all | 5 | |
4. During the past 4 weeks, how often have you used your rescue inhaler or nebuliser medication, such as albuterol? | ||
≥3 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 | |
5. How would you rate your asthma control during the past 4 weeks? | ||
Not controlled at all | 1 | |
Poorly controlled | 2 | |
Somewhat controlled | 3 | |
Well controlled | 4 | |
Completely controlled | 5 |
The score of 1 to 5 is based on 1 being the worst controlled and 5 being the best controlled. The ACTTM is copyright and trademark of Quality Metric Inc., 2002.