Home
Forms Library
Questionnaire for Parents Guardians of a Child with Asthma

Questionnaire for Parents Guardians of a Child with Asthma 2025

Questionnaire for Parents Guardians of a Child with Asthma Preview on Page 1

See details

4.9 out of 5

60 votes

The document is a comprehensive questionnaire and consent form for parents or guardians of children with asthma. It gathers essential information about the child's asthma history, triggers, medication, and emergency care plans. The questionnaire includes sections on the severity of asthma, early signs of attacks, medication details, and parental responsibilities regarding monitoring and treatment. Additionally, it outlines an Asthma Action Plan categorizing symptoms into green, yellow, and red zones with corresponding action steps for each level of severity.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Questionnaire for Parents Guardians of a Child with Asthma

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin by entering your child's name and date of birth at the top of the form. This information is essential for identifying your child.
In section one, indicate how long your child has had asthma. This helps healthcare providers understand the duration and management of the condition.
Rate the severity of your child's asthma on a scale from 1 (not severe) to 5 (severe). This provides insight into their current health status.
Check all triggers that apply in section three. Identifying these can help in managing your child's asthma effectively.
Continue filling out sections regarding medication, side effects, and any past hospitalizations. Be thorough to ensure accurate care.
Complete the emergency health care agreement and medication consent forms as needed, ensuring all signatures are provided.

Start using our platform today to easily fill out and manage your child's asthma questionnaire for free!

See more Questionnaire for Parents Guardians of a Child with Asthma versions

We've got more versions of the Questionnaire for Parents Guardians of a Child with Asthma form. Select the right Questionnaire for Parents Guardians of a Child with Asthma version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2024	4.8 Satisfied (57 Votes)
2023	4.6 Satisfied (29 Votes)
2023	4.2 Satisfied (33 Votes)
2023	4.8 Satisfied (51 Votes)
2023	4.3 Satisfied (30 Votes)
2023	4.4 Satisfied (43 Votes)
2023	4.1 Satisfied (50 Votes)
2022	4.8 Satisfied (52 Votes)
2022	4.1 Satisfied (31 Votes)
2022	4.7 Satisfied (57 Votes)
2022	4.8 Satisfied (152 Votes)
2022	4.8 Satisfied (68 Votes)
2022	4.3 Satisfied (38 Votes)
2021	4.8 Satisfied (60 Votes)
2021	4.8 Satisfied (162 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can I sign my Questionnaire for Parents Guardians of a Child with Asthma on a mobile?

Of course, you’ll find numerous apps for this on the web. Nonetheless, if you need to eSign your Questionnaire for Parents Guardians of a Child with Asthma without installing additional software, DocHub is the best choice you can make. This powerful editor works on mobile devices just as on desktops. Open our editor in any internet browser, register or sign in to your account, and start managing your paperwork.

How do you edit Questionnaire for Parents Guardians of a Child with Asthma on Android?

Document editing with DocHub is equally convenient on desktop and mobile devices. You only need an internet browser to edit your Questionnaire for Parents Guardians of a Child with Asthma on Android. Open our website and sign in to access the tools you need. Add your document and introduce your intended changes. After that, you can keep your form in your document storage or send it out instantly.

What are the key questions you should ask at an asthma review?

Think about what you want to ask at the review, for instance: Am I on the right dose of medicine? Is my medicine working? Is this the best inhaler for me? Is my inhaler technique right? (Remember; to take your inhalers with you to show your technique!) What situations seem to make my asthma worse?

How to help a child having an asthma attack?

Would you know what to do if your child had an asthma attack? 1. Sit your child down in an upright, comfortable position. 2. Administer one puff of their reliever inhaler (usually blue) as you were taught, using any equipment such as a spacer if it has been prescribed for your child. Administer one puff every 30 to 60.

What is the 4 4 4 rule for asthma?

Quick-relief inhalers (bronchodilators) quickly open swollen airways that are limiting breathing. In some cases, allergy medications are necessary. Long-term asthma control medications, generally taken daily, are the cornerstone of asthma treatment.

How to take care of a child with asthma?

Asthma action plans include a list of the childs asthma medications taken, early warning signs for asthma symptoms, instructions on when to use the medicines and call your health care provider, and when to seek emergency care.

What is the 2 2 2 rule for asthma?

English Transcript. Allergist Steve Dorman, MD: The Rule of Twos inside asthma is if somebody is well controlled per our guidelines. They use the rescue inhaler less than two times a week during the day, less than two times a month during the night, and they have no limitation during their physical activities.