Share your asthma story

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Name(Required)

Email(Required)

Best contact phone number to reach you on(Required)

When were you diagnosed with asthma?

How did you get diagnosed with asthma?

What asthma symptoms do you experience?

Cough

Wheeze

Shortness of breath

Tightness in the chest

Please select all that apply

Other symptoms, please explain

How do you currently manage your asthma?

How does asthma impact you or your family?

For example, does it disrupt schooling, ability to play sports, time off work for you as the parent carer etc.

How does having asthma make you feel?

What do you hope the future looks like for you?

Is there anything else you would like to share with us about your asthma journey?

Have you called an Asthma Educator before on 1800 ASTHMA (1800 278 462) and if yes, how did they help you?

Photos & video of your asthma experiences

Upload photos of your asthma experiences that you feel comfortable sharing. This could of be any hospitalisations, doctors visits, symptoms etc. If you don't have any photos like these, other photos of yourself are welcome.

Upload Your Photos & Video

Drop files here or

Max. file size: 50 MB.

Yes, I agree to be contacted by Asthma Australia about Asthma Champion opportunities such as surveys, media interviews, stories, publications, etc.

Be a voice to influence change! Stay in the loop on what we’re up to and how you can help.

Share your asthma story

Share your asthma story

Photos & video of your asthma experiences

How Controlled Is Your Asthma?