Symptom checklist

Tick the items that apply to you, then print the page or write your answers down to take to your appointment. This is not a diagnosis.

• I get out of breath more easily than before
• I cough most days or bring up mucus
• I wheeze or feel tightness in my chest
• I get chest infections often
• My breathing wakes me at night
• I smoke or used to smoke
• I have been exposed to dust, fumes, or chemicals at work
• Someone has noticed pauses in my breathing while I sleep

Also note down

• When the symptoms started and whether they are getting worse.
• What makes them better or worse.
• All medicines, inhalers, and supplements you use.