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1. Has it been easy to learn and prepare how to use the inhaler? VeryFairlySomewhatNot veryHardly at all
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2. Was it easy to continue normal activities with the use of the inhaler? VeryFairlySomewhatNot veryHardly at all
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3. Carrying my asthma inhaler(s) can be cumbersome (e.g. size/weight). VeryFairlySomewhatNot veryHardly at all
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4. My inhaler(s) helps me feel in control of my asthma symptoms VeryFairlySomewhatNot veryHardly at all
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5. When I take my medication, I feel confident that my asthma Symptoms will be controlled VeryFairlySomewhatNot veryHardly at all
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6. My asthma medication leaves a bad taste in my mouth VeryFairlySomewhatNot veryHardly at all
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7. My asthma medication affects my voice VeryFairlySomewhatNot veryHardly at all
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8. I feel confident in using my inhaler(s). VeryFairlySomewhatNot veryHardly at all
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9. I worry that my inhaler is not giving me enough medication. VeryFairlySomewhatNot veryHardly at all
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10. My asthma medication provides fast relief of my asthma symptoms. VeryFairlySomewhatNot veryHardly at all
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11. I would recommend my inhaler(s) to other people with asthma VeryFairlySomewhatNot veryHardly at all
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12. Ability to perform daily activities; VeryFairlySomewhatNot veryHardly at all
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13. Breathlessness over the past 24 hours VeryFairlySomewhatNot veryHardly at all
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14. Waking at night due to respiratory symptoms VeryFairlySomewhatNot veryHardly at all
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15. Cough VeryFairlySomewhatNot veryHardly at all
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16. Breathlessness on arising VeryFairlySomewhatNot veryHardly at all
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17. Sputum production VeryFairlySomewhatNot veryHardly at all
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18. Optional: What asthma treatment do you use and how much are you paying for it?