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  • Thinking about my life, My life has purpose.
  • In the past 7 days I felt wheezy because of my asthma.
  • In the past 7 days, when my child was in pain he/she moved slower.
  • In the past 7 days, when my child was in pain he/she had to stop what he/she was doing.
  • In the past 7 days, when my child was in pain he/she asked for medicine.
  • How much DIFFICULTY do you currently have... reading and following complex instructions (e.g., directions for a new medication)?
  • In the past 7 days I could do sports and exercise that other kids my age could do.
  • In the past 7 days I am satisfied with the amount of time I spend doing leisure activities
  • CURRENT level of confidence I can figure out what treatment I need when my symptoms change.
  • Thinking about the past 4 weeks, My child's life was great.
  • In the past 7 days It was hard to have fun when I had pain.
  • In the past 7 days I can keep up with my family responsibilities
  • In the past 7 days I am able to do all of my regular activities with friends
  • In the past 7 days I can keep up with my social commitments
  • In the past 7 days Being tired made it hard to play or go out with my friends as much as I would like.
  • In the past 7 days My child felt nervous.
  • In the past 7 days My child has been physically able to do the activities he/she enjoys most.
  • In the past 7 days Other kids wanted to talk to my child.
  • In the past 7 days I could put on my shoes by myself.
  • Thinking about the past 4 weeks, I was happy with my life.
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