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My Asthma Symptom Diary

Use the chart below to keep track of symptoms. (Make some copies first.) Bring your Asthma Action Plan and this symptom diary to every visit with your doctor. Show your records to your doctor. Also ask any questions you have. You should have fewer items on your chart as your asthma control gets better.

Asthma symptom diary

Date

Symptoms

Possible triggers

Action taken

Results

Did symptoms make it hard for you to sleep? Yes or No?

3/3

Example:

Wheezing, peak flow 75%

Cold air

2 puffs albuterol, went inside

Symptoms gone in 20 minutes

No
Online Medical Reviewer: Chris Southard RN
Online Medical Reviewer: Rajadurai Samnishanth Researcher
Online Medical Reviewer: Rita Sather RN
Date Last Reviewed: 3/1/2024
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