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Leagrave Surgery NHS GP Surgery in Luton

Asthma peak flow diary

Asthma Peak Flow Diary

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You must be aged 13 or over to complete this form yourself

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Week 1

Day 1

Symptoms

Used reliever inhaler

Had asthma symptoms such as shortness of breath, tight chest, coughing or wheezing

Waking at night with asthma symptoms

Feeling like you can’t keep up with your normal day-to-day activities

AM reading

PM reading

Day 2

Symptoms

Used reliever inhaler

Had asthma symptoms such as shortness of breath, tight chest, coughing or wheezing

Waking at night with asthma symptoms

Feeling like you can’t keep up with your normal day-to-day activities

AM reading

PM reading

Day 3

Symptoms

Used reliever inhaler

Had asthma symptoms such as shortness of breath, tight chest, coughing or wheezing

Waking at night with asthma symptoms

Feeling like you can’t keep up with your normal day-to-day activities

AM reading

PM reading

Day 4

Symptoms

Used reliever inhaler

Had asthma symptoms such as shortness of breath, tight chest, coughing or wheezing

Waking at night with asthma symptoms

Feeling like you can’t keep up with your normal day-to-day activities

AM reading

PM reading

Day 5

Symptoms

Used reliever inhaler

Had asthma symptoms such as shortness of breath, tight chest, coughing or wheezing

Waking at night with asthma symptoms

Feeling like you can’t keep up with your normal day-to-day activities

AM reading

PM reading

Day 6

Symptoms

Used reliever inhaler

Had asthma symptoms such as shortness of breath, tight chest, coughing or wheezing

Waking at night with asthma symptoms

Feeling like you can’t keep up with your normal day-to-day activities

AM reading

PM reading

Day 7

Symptoms

Used reliever inhaler

Had asthma symptoms such as shortness of breath, tight chest, coughing or wheezing

Waking at night with asthma symptoms

Feeling like you can’t keep up with your normal day-to-day activities

AM reading

PM reading

Week 2

Day 1

Symptoms

Used reliever inhaler

Had asthma symptoms such as shortness of breath, tight chest, coughing or wheezing

Waking at night with asthma symptoms

Feeling like you can’t keep up with your normal day-to-day activities

AM reading

PM reading

Day 2

Symptoms

Used reliever inhaler

Had asthma symptoms such as shortness of breath, tight chest, coughing or wheezing

Waking at night with asthma symptoms

Feeling like you can’t keep up with your normal day-to-day activities

AM reading

PM reading

Day 3

Symptoms

Used reliever inhaler

Had asthma symptoms such as shortness of breath, tight chest, coughing or wheezing

Waking at night with asthma symptoms

Feeling like you can’t keep up with your normal day-to-day activities

AM reading

PM reading

Day 4

Symptoms

Used reliever inhaler

Had asthma symptoms such as shortness of breath, tight chest, coughing or wheezing

Waking at night with asthma symptoms

Feeling like you can’t keep up with your normal day-to-day activities

AM reading

PM reading

Day 5

Symptoms

Used reliever inhaler

Had asthma symptoms such as shortness of breath, tight chest, coughing or wheezing

Waking at night with asthma symptoms

Feeling like you can’t keep up with your normal day-to-day activities

AM reading

PM reading

Day 6

Symptoms

Used reliever inhaler

Had asthma symptoms such as shortness of breath, tight chest, coughing or wheezing

Waking at night with asthma symptoms

Feeling like you can’t keep up with your normal day-to-day activities

AM reading

PM reading

Day 7

Symptoms

Used reliever inhaler

Had asthma symptoms such as shortness of breath, tight chest, coughing or wheezing

Waking at night with asthma symptoms

Feeling like you can’t keep up with your normal day-to-day activities

AM reading

PM reading

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Leagrave Surgery
37A Linden Road
Luton
Bedfordshire
LU4 9QZ

Get directions

01582 572817

Register with the surgery

Feedback and complaints

Wellbeing

Dr WHM Matta & Partners

CQC overall rating

Good

19 March 2020

See the report

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