ACT items and corresponding AIRIAP survey question(s)ACT responses and corresponding responses from the AIRIAP survey questions
ACT question 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 home?All of the timeMost of the timeSome of the timeA little of the timeNone of the time
    How much do you feel that your asthma limits what you can do in … social activities/playing [and] … housekeeping chores?Both responses “A lot”Worst response “A lot”Worst response “Some”Worst response “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 dayOnce a dayThree to six times a weekOnce or twice a weekNot at all
    What asthma symptoms have you had... [If “Shortness of Breath” reported]: How many times in a typical week do you experience asthma symptoms?Eight times per week or more frequentlySeven times per week3, 4, 5 or 6 times per weekOne or two times per weekShortness of breath not experienced
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 week2–3 times a weekOnce a weekOnce or twiceNot at all
    Have you been awakened by a cough, or wheezing, or shortness of breath, or chest tightness during the night? How often do you have these symptoms at night?“Every night” OR “Most nights”“At least three nights a week” OR “Twice a week”“Once a week (five times a month)” OR “Three or four times a month”“Twice a month” OR “Once a month”None of the symptoms in the past 4 weeks
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 per day1 or 2 times per day2 or 3 times per weekOnce a week or lessNot at all
    Which of [these asthma medications] do you take for “quick relief” of asthma symptoms? How often do you take them?“Daily” AND three times per day or more often“Daily” AND 1 per day or 2 per day“2–3 times per week”“Once a week” or less oftenNot taken
ACT question 5
    How would you rate your asthma control during the past 4 weeks?Not controlled at allPoorly controlledSomewhat controlledWell controlledCompletely controlled
    Overall, how well would you say that your asthma has been controlled in the past four weeks?“Not controlled at all”“Poorly controlled”“Somewhat controlled”“Well controlled”“Completely controlled”
  • #: All questions begin “In the past 4 weeks”. : All references to “Your asthma” also include “your child's asthma” when appropriate. +: Up to four “quick relief” drugs reported. ACT response estimated from the quick relief drug used most frequently.