Understand where you stand right now with your severe asthma and get tips on asking your doctor for the help you may need.
While your severe asthma may feel manageable now, it can worsen over time. Take this short questionnaire and share the results at your next doctor’s appointment to help assess your level of asthma control.
This questionnaire is not intended to diagnose asthma or replace the advice of a healthcare practitioner.
It is not intended to direct specific actions, including how to treat or improve asthma.Asthma Impairment and Risk Questionnaire (AIRQ®)
For use by health care providers with their patients 12 years and older who have been diagnosed with asthma. AIRQ® is intended to be part of an asthma clinic visit.
Please answer all of the questions below.
Click Calculate Score.
Print or save your results — and share them with your health care provider.
Continue
Asthma Impairment and Risk Questionnaire (AIRQ®)
For use by health care providers with their patients 12 years and older who have been diagnosed with asthma. AIRQ® is intended to be part of an asthma clinic visit.
Please answer all of the questions below.
Click Calculate Score.
Print or save your results — and share them with your health care provider.
In the past 2 weeks, has coughing, wheezing, shortness of breath, or chest tightness - :
1
Bothered you during the day on more than 4 days?
2
Woke you up from sleep more than 1 time?
3
Limited the activities you wanted to do every day?
4
Caused you to use your rescue inhaler or nebulizer every day?
Please see all prescribing information for all products.
In the past 2 weeks:
5
Did you have to limit your social activities (such as visiting with friends/relatives or playing with pets/children) because of your asthma?
6
Did coughing, wheezing, shortness of breath, or chest tightness limit your ability to exercise?
7
Did you feel that it was difficult to control your asthma?
In the past 12 months, has coughing, wheezing, shortness of breath, or chest tightness:
8
Caused you to take steroid pills or shots, such as prednisone or Medrol®?*
9
Caused you to go to the emergency room or have unplanned visits to a healthcare provider?
10
Caused you to stay in the hospital overnight?
Your AIRQ® Score (total YES responses) is
The AIRQ® is meant to help your healthcare providers talk with you about your asthma control. The AIRQ® does not diagnose asthma. Whatever your AIRQ® score (total YES answers), it is important for your healthcare team to discuss the number and answers to each of the questions with you. All patients with asthma, even those who may be well controlled, can have an asthma attack. As asthma control worsens, the chance of an asthma attack increases.1 Only your medical provider can decide how best to assess and treat your asthma.
*Medrol® (Pfizer Inc.) or methylprednisolone.
The trademarks depicted above are the property of their respective owners.
1Global Strategy for Asthma Management and Prevention: ©2020 Global Initiative for Asthma.
The trademarks depicted above are the property of their respective owners.
1Global Strategy for Asthma Management and Prevention: ©2020 Global Initiative for Asthma.
©2023 AstraZeneca. All rights reserved. US-78470 Last Updated 7/23
AIRQ® is a registered trademark of AstraZeneca.
If you’re taking your asthma medication but aren’t experiencing the relief and control you want, TEZSPIRE may be able to help.
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The Asthma Impairment and Risk Questionnaire (AIRQ®, pronounced “air” – “Q”) is a set of 10 yes or no questions that is designed to help you and a health care provider talk about your asthma control. AIRQ® is intended to help patients with asthma who are 12 years of age or older. The survey asks questions about your asthma medicines, asthma symptoms, and asthma attacks.
The assessment of your level of asthma control is based on your answers to the AIRQ® questions. The goal is for your asthma to be well-controlled. Your chances of having an asthma attack go up when your asthma control worsens. Even patients with asthma that is well-controlled can have asthma attacks.
It is very important to discuss your answers to each of the 10 AIRQ® questions, your total AIRQ® score, and your level of asthma control with your health care provider. You should not change your treatment based on your AIRQ® score unless you and your health care provider discuss and agree a change is needed.
©2023 AstraZeneca. All rights reserved. US-74296 Last Updated 3/23.
Asthma Impairment and Risk Questionnaire (AIRQ®)
For use by health care providers with their patients 12 years and older who have been diagnosed with asthma. AIRQ® is intended to be part of an asthma clinic visit.
Please answer all of the questions below.
Click Calculate Score.
Print or save your results — and share them with your health care provider.
In the past 2 weeks, has coughing, wheezing, shortness of breath, or chest tightness - :
1
Bothered you during the day on more than 4 days?
2
Woke you up from sleep more than 1 time?
3
Limited the activities you wanted to do every day?
4
Caused you to use your rescue inhaler or nebulizer every day?
Please see all prescribing information for all products.
In the past 2 weeks:
5
Did you have to limit your social activities (such as visiting with friends/relatives or playing with pets/children) because of your asthma?
6
Did coughing, wheezing, shortness of breath, or chest tightness limit your ability to exercise?
7
Did you feel that it was difficult to control your asthma?
In the past 12 months, has coughing, wheezing, shortness of breath, or chest tightness:
8
Caused you to take steroid pills or shots, such as prednisone or Medrol®?*
9
Caused you to go to the emergency room or have unplanned visits to a healthcare provider?
10
Caused you to stay in the hospital overnight?
Your AIRQ® Score (total YES responses) is
The AIRQ® is meant to help your healthcare providers talk with you about your asthma control. The AIRQ® does not diagnose asthma. Whatever your AIRQ® score (total YES answers), it is important for your healthcare team to discuss the number and answers to each of the questions with you. All patients with asthma, even those who may be well controlled, can have an asthma attack. As asthma control worsens, the chance of an asthma attack increases.1 Only your medical provider can decide how best to assess and treat your asthma.
*Medrol® (Pfizer Inc.) or methylprednisolone.
The trademarks depicted above are the property of their respective owners.
1Global Strategy for Asthma Management and Prevention: ©2020 Global Initiative for Asthma.
Do not use TEZSPIRE if you are allergic to tezepelumab-ekko or any of its ingredients.
Do not use to treat sudden breathing problems.
TEZSPIRE may cause serious side effects, including:
Before using TEZSPIRE, tell your healthcare provider about all of your medical conditions, including if you:
Do not change or stop taking your other asthma medicines unless instructed to do so by your healthcare provider.
The most common side effects of TEZSPIRE include: Sore throat, joint and back pain. These are not all the possible side effects.
Please see full Prescribing Information, including Patient Information and Instructions for Use.
You may report side effects related to AstraZeneca products.Opens new window