Table 2 Working title ‘’Obstructive Lung Disease Questionnaire” as a potential new tool for measuring disease burden in obstructive lung disease.
From: Measuring burden of disease in both asthma and COPD by merging the ACQ and CCQ: less is more?
1. On average, during the past week, how often were you woken by your obstructive lung disease during the night? ACQ 1 | 0 Never 1 Hardly ever 2 A few minutes 3 Several times 4 Many times 5 A great many times 6 Unable to sleep because of obstructive lung disease |
2. On average, during the past week, how bad were your obstructive lung disease symptoms when you woke up in the morning? ACQ 2 | 0 No symptoms 1 Very mild symptoms 2 Mild symptoms 3 Moderate symptoms 4 Quite severe symptoms 5 Severe symptoms 6 Very severe symptom |
3. In general, during the past week, how much shortness of breath did you experience because of your obstructive lung disease? ACQ 4 | 0 None 1 A very little 2 A little 3 A moderate amount 4 Quite a lot 5 A great deal 6 A very great deal |
4. In general, during the past week, how much of the time did you wheeze? ACQ 5 | 0 Not at all 1 Hardly any of the time 2 A little of the time 3 A moderate amount of the time 4 A lot of the time 5 Most of the time 6 All the time |
5. On average, during the past week, how often did you feel short of breath at rest? CCQ 1 | 0 Never 1 Hardly ever 2 A few times 3 Several times 4 Many times 5 A great many times 6 Almost all the time |
6. On average, during the past week, how often did you feel concerned about getting a cold or your breathing getting worse? CCQ 3 | 0 Never 1 Hardly ever 2 A few times 3 Several times 4 Many times 5 A great many times 6 Almost all the time |
7. In general, during the past week, how much of the time did you produce phlegm? CCQ 6 | 0 Never 1 Hardly ever 2 A few times 3 Several times 4 Many times 5 A great many times 6 Almost all the time |
8. On average, during the past week, how limited were you in these activities because of your breathing problems: strenuous physical activities (such as climbing stairs, hurrying, doing sports)? CCQ 7 | 0. Not limited at all 1. Very slightly limited 2. Slightly limited 3. Moderately limited 4. Very limited 5. Extremely limited 6 Totally limited/ or unable to do |
9. On average, during the past week, how limited were you in these activities because of your breathing problems: social activities (such as talking, being with children, visiting friends/relatives) CCQ 10 | 0. Not limited at all 1. Very slightly limited 2. Slightly limited 3. Moderately limited 4. Very limited 5. Extremely limited 6. Totally limited/ or unable to do |
