Tell us whether you accept cookies

We've put some small files called cookies on your device to make our site work. We would also like to use analytical cookies to understand how our site is used and improve user experience. Analytical cookies send information to Google Analytics.

Let us know your preference. We will use a cookie to save your choice. Before you make your choice you can read more about our cookie policy.

Mann Cottage NHS GP Surgery in Moreton-in-Marsh

Asthma review (adults)

Section

Your Asthma Review

In the last month have you had difficulty sleeping due to your asthma (including cough)?

Yes

Have you had your usual asthma symptoms (e.g., cough, wheeze, chest tightness, shortness of breath) during the day?

Yes

Has your asthma interfered with your usual daily activities (e.g., school, work, housework)?

Yes

How often do you need to use your reliever inhaler?

Never

1-2 times a month

1-2 times a week

1-2 times a day

2+ times a day

Since your last review, have you needed to see a doctor as an emergency or attend the A&E department of a hospital as a result of your asthma?

Yes

Please give details:

Since your last review, have you needed a course of steroid tablets to get your asthma under control?

Yes

Do you smoke?

Yes

Did you have a flu vaccination last flu season?

Yes

Please list the inhalers you use daily or on a regular basis (name/strength/how many puffs/how many times a day/via a space device?):

Please note that the details you give will be used to update your medical records.

I confirm that the information provided is accurate to the best of my knowledge

If you are human, leave this field blank.

Four Shires Medical Centre
Stow Road
Moreton-in-Marsh
Gloucestershire
GL56 0DS

Get directions

01608 650764

Feedback and complaints

Wellbeing

Accessibility statement

Website policies