---
name: asthma-assessment
description: Use when asked to administer, score, or explain an Asthma Assessment — using the ACT (Asthma Control Test) — grounded in FormExamples/form-examples.
---

# Asthma Assessment

Asthma control evaluation using the ACT (Asthma Control Test) scoring
instrument.

## Scoring

**Instrument:** ACT Score. Range 5–25.

- **≤ 15** — not well controlled.
- **16–19** — not well controlled.
- **20–25** — well controlled.

## What it covers

Demographics; symptom frequency over the past 4 weeks; lung function
(peak flow, spirometry); identified triggers and exposure patterns;
current controller and reliever medications with adherence; allergies
and allergic comorbidities; exacerbation history (attacks, ED visits,
hospitalizations); comorbidities (GERD, rhinitis, obesity); and social
history (smoking, occupational exposures, home environment).

## Common pitfalls

- **Scoring control without checking inhaler technique and adherence**
  — apparently "poor control" is frequently a technique or adherence
  problem rather than a need to escalate medication; check technique
  before stepping up treatment.
- **Ignoring exacerbation history in favor of the ACT score alone** — a
  patient can score "well controlled" between attacks yet have a
  recent, serious exacerbation history that changes management; both
  matter.
- **Missing occupational or environmental triggers** — a control
  assessment that skips exposure history can miss an identifiable,
  modifiable trigger driving poor control.

## Learn more

- [FormExamples: asthma-assessment](https://github.com/FormExamples/form-examples/tree/main/forms/asthma-assessment) for the full implementation, clinical references, and worked examples.
- [[pulmonology-assessment]], [[respirology-assessment]] for related respiratory assessments.