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  • In the past 7 days It was hard for my child to take a deep breath because of asthma.
  • In the past 7 days I felt worried
  • In the past 7 days I was too tired to leave the house
  • In the past 7 days I felt tired
  • In the past 7 days I had trouble sleeping when I had pain
  • In the past 7 days I was sleepy during the daytime
  • In the past 7 days My child could pull open heavy doors.
  • In the past 7 days My child could put on his/her shoes without help.
  • In the past 7 days I felt fed up.
  • Thinking about your child's life, My child has a reason for living.
  • In the past 7 days I was too tired to do sports or exercise.
  • In the past 7 days I was too tired to do things outside.
  • In the past 7 days I was too tired to enjoy the things I like to do.
  • In the past 7 days My child had trouble starting things because he/she was too tired.
  • In the past 7 days My child was too tired to do sports or exercise.
  • In the past 7 days I had trouble controlling my temper
  • In the past 7 days, My child felt unable to manage things in his/her life.
  • <u>Over the past 7 days</u>, how short of breath did you get with each of these activities? Washing dishes
  • <u>Over the past 7 days</u>, how short of breath did you get with each of these activities? Walking (faster than your usual speed) for ?? mile (almost 1 km) without stopping
  • In the past 7 days, My body shook.
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