Asthma Trigger Exposure Questionnaire

This is a brief questionnaire asking about common triggers for allergies or asthma including: plant pollen, molds, animals, dust, foods, cockroaches and also smoke. The questionnaire asks what action if any the parent is taking to address the issue and how the parent was informed about what to do. It also asks if the child has had a flu vaccination. 

 

All ages

 

Available in English and Spanish