1. When do you get out of breath?

    Choose the description that best suits you:

    Please select one of the options above first
  2. Do you worry about getting out of breath?

    Please select one of the options above first
  3. Have you ever seen a doctor, nurse or other health care professional about feeling out of breath?

    Please select one of the options above first
  4. Has seeing a doctor, nurse or other health care professional about your breathlessness helped?

    Please select one of the options above first
  5. Do you have a diagnosis of a condition that makes you breathless?

    Please select one of the options above first
  6. Do you feel you know enough about being short of breath to control it and manage it?

    Please select one of the options above first
  7. Each day on average, do you do 20 minutes of physical activity?

    You can count the time you spend walking, cycling, gardening or anything else that makes you breathe faster.

    Please select one of the options above first
  8. What is your height?

    (We only use this to calculate your BMI)

    cm
    ft
    in
    If you're not sure you can enter a rough estimate. You can switch between metric and imperial measures if that helps.
  9. How much do you weigh?

    (We only use this to calculate your BMI)

    kg
    st
    lb
    If you're not sure you can enter a rough estimate. You can switch between metric and imperial measures if that helps.
  10. How old are you?

    years
    Please enter your age
  11. Do you smoke?

    Please select one of the options above first
  12. Great, we’re nearly done.

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