Share your child's asthma story

Parent/Carer's Name(Required)

Child's Name(Required)

Please note that if you would like to keep your child's name anonymous, place anonymous in the text box.

Email(Required)

Best contact phone number to reach you on(Required)

How and at what age was your child diagnosed with asthma?

What asthma symptoms does your child 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 child's asthma?

How does asthma impact your child?

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

How do you feel about your child having asthma?

What do you hope the future looks like for your child as someone who has asthma?

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

Photos & video of your child's 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, family photos of your child are welcome.

Upload Your Photos & Videos

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.

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Share your child’s asthma story

Share your child's asthma story

Photos & video of your child's asthma experiences

How Controlled Is Your Asthma?

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