Figure 3
Asthma Diary for _________________________________
Complete diary by checking the correct box or filling in the requested value

 Month __________ Day
Last night Good night
Slept well but a little wheeze or cough
Woke once or twice
Bad night, awake a lot
Morning Peak Flow (best of 3 efforts)
Activity No problem
Can run a little bit
Can't run at all
Had to rest all day
Wheeze No
Yes, 2 times or less
Yes, more than 2 times
Yes, all the time
Cough No
Yes, a little
Yes, keeps me from doing some things
Yes, bothers me a lot
Evening Peak Flow (best of 3 efforts)
Intervention Inhaled bronchodilator (no. of treatments)
Oral Corticosteroid (dose)