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Quiz Before a Doctor's Visit
New Patient Forms

 

Quiz

Review the below questions and talk with your doctor about them. As a guide for your next appointment, click here for a suitable version to print that's easy to take with you.

  1. What do you want to achieve at this doctor's visit?

 

  1. What worries you most about your asthma?

 

  1. What do you want to be able to do that you can't do now because of your asthma?

 

  1. What do you expect from treatment?

 

  1. What medicines have you tried?

 

  1. What medicines are you taking now?

 

  1. How and when are you taking these medications?

 

  1. Show the doctor your inhaler, spacer/holding chamber, or nebulizer technique.

 

  1. What problems have you had using your medicine?

 

  1. Are your medicines causing you any problems?

 

  1. Have you noticed anything in your home, work, or school that makes your asthma worse?

 

  1. How have you tried to control things that make your asthma worse?

 

  1. How do you know when to call your doctor or go to the hospital for asthma care?

 

  1. What other questions do you have?

 


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Bullitt County – Shepherdsville
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Madison

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