ACT items and corresponding AIRE survey question(s) | ACT responses and corresponding responses from the AIRE survey questions | | | | |
ACT question 1 | | | | | |
During the past 4 weeks, how much of the time did your asthma keep you from getting as much done at work, school or home? | All of the time | Most of the time | Some of the time | A little of the time | None of the time |
AIRE | | | | | |
How much do you feel that your asthma limits what you can do in 1) social activities/playing and 2) housekeeping chores? Do you feel your asthma restricts you a lot, some, only a little or not at all? | Both responses “a lot” | Worst response “a lot” | Worst response “some” | Worst response “a little” | Both responses “not at all” |
ACT question 2 | | | | | |
During the past 4 weeks, how often have you had shortness of breath? | More than once a day | Once a day | 3–6 times a week | Once or twice a week | Not at all |
AIRE | | | | | |
During the past 4 weeks have you had ….. shortness of breath? Yes/No | Eight or more times per week | Seven times per week | 3, 4, 5 or 6 times per week | Once or twice per week | Not at all |
How many times in a typical week (if any) do you experience (shortness of breath)? | | | | | |
ACT question 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? | Four or more times a week | 2–3 times a week | Once a week | Once or twice | Not at all |
AIRE | | | | | |
In the past 4 weeks, have (you/your child) been awakened by a cough, or wheezing, or shortness of breath, or chest tightness during the night? Yes/No | “Every night” OR “Most nights” | “At least 3 nights a week” OR “Twice a week” | “Once a week (5 times a month)” OR “3 or 4 times a month” | Once or twice a month | None |
How often do (you/your child) have these symptoms at night? | | | | | |
ACT question 4 | | | | | |
During the past 4 weeks how often have you used your rescue inhaler or nebulizer medication (such as salbutamol)? | Three or more times a day | Once or twice a day | 2–3 times a week | Once a week or less | Not at all |
AIRE | | | | | |
In the past 4 weeks have you used any prescription medicine to give yourself quick relief from asthma symptoms? Yes/No | “Daily” AND “3 or more times a day” | “Daily” AND “1 or 2 times a day” | “1 or 2 times a week” OR “3–6 times a week” | Less than once a week | Not used any prescription medicine for quick relief |
How often do you use an inhaler for quick relief from asthma symptoms? | | | | | |
ACT question 5 | | | | | |
How would you rate your asthma control during the past 4 weeks? | Not controlled at all | Poorly controlled | Somewhat controlled | Well controlled | Completely controlled |
AIRE | | | | | |
Overall, how well would you say that (your/your child's) asthma has been controlled in the past 4 weeks? | Not controlled at all | Poorly controlled | Somewhat controlled | Well controlled | Completely controlled |