COPD Doctor Discussion Guide

This Doctor Discussion Guide will help you talk to your doctor about COPD. Just fill in the blanks, then use the buttons at the bottom to print or save your results to show to your doctor.


To get started, click the button that best describes you.

Things I Would Like To Discuss

Check off all questions that you would like to ask your doctor about COPD. If you have a question that is not listed here, add it under "Other."

  • Do I have COPD?
  • How severe is my COPD?
  • How can I tell if I'm having a flare-up?
  • What can I do to reduce my risk of COPD flare-ups?
  • How will COPD affect my daily life? What can I do to cope?
  • What can I do to quit smoking?
  • Where can I go for more information and support?
  • Other:
  • Other:
  • Other:

General questionns about COPD:

    Questions About COPD Treatment

    Check off all questions that you would like to ask your doctor about COPD. If you have a question that is not listed here, add it under "Other."

    • What treatment options are available to me?
    • Which treatment option would you recommend and why?
    • How does the treatment work?
    • What are the risks and benefits of the treatment?
    • How do I use the treatment properly, and how often should I take it?
    • When will the treatment begin to work?
    • How long will I need to continue treatment?
    • Are there any side effects I should watch out for, and what should I do if they happen?
    • Will I need to have regular checkups during treatment?
    • Are there any people who should avoid this treatment?
    • Do I need any vaccinations?
    • Other:
    • Other:
    • Other:

    Questions about COPD Treatment:

      My Treatment Concerns

      Check off any concerns that you may have about your COPD treatment. If you have a concern not listed here, add it under "Other."

      • I don't know what to do when my COPD flares up.
      • I'm not sure whether my COPD treatment is working.
      • My COPD symptoms are interfering with my lifestyle even though I'm on treatment.
      • I'm not sure what my COPD medications are for and when to take them.
      • I'm not sure how to use my COPD medication(s) properly - I would like a demonstration of proper inhaler technique.
      • I'm having trouble remembering to take my COPD medication(s).
      • I think I'm having side effects from my COPD medication(s).
      • Other:
      • Other:

      My treatment concerns:

        My Results

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        Take the COPD Assessment Test, print your result, and bring them to your doctor's visit

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