Asthma/COPD: Doctor Discussion Guide

Which Condition Do You Have?

*Chronic Obstructive Pulmonary Disease

My Asthma Treatment History

Answering these questions can help you better understand your asthma and lead to a more informed discussion with your physician about your condition and your inhaler.

I am currently using the following medication:

In the past 4 weeks of my asthma treatment I have experienced (please select all that apply):











Issues I have with my current asthma treatment (please select all that apply):

















I prefer asthma treatment that is:



I prefer inhalers that (please select all that apply):











My COPD Treatment History

Answering these questions can help you better understand your COPD and lead to a more informed discussion with your physician about your condition and your inhaler.

I am currently using the following medication:

I would describe the current state of my COPD like this (please select all that apply):















Issues I have with my current COPD treatment (please select all that apply):















I prefer COPD treatment that is:



I prefer inhalers that (please select all that apply):











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