Figure 2
Asthma Diary for ____________________________________
Complete diary by checking the correct box or fillng in the requested value

Month __________ Day   
Last night Good night
Slept well but some wheeze or cough
Awake briefly with wheeze or cough
Bad night, awake repeatedly
Morning Peak Flow (best of 3 efforts)
Activity Vigorous activity OK
Can run only briefly
OK for walking only
Must rest at home
Wheeze None
Briefly, not troublesome
Several times
Continuous
Cough None
Present but not troublesome
Interrupted activities once
Interrupted activities more than once
Evening Peak Flow (best of 3 efforts)
Intervention Inhaled bronchodilators (no. of treatments)
Oral Corticosteroid (dose)