Get Your Child Asthma Score "*" indicates required fields Step 1 of 13 7% X/TwitterThis field is for validation purposes and should be left unchanged.Childhood Asthma Control Test for children 4 to 11 years old C-ACT Copyright © 2005 GSK. All Rights Reserved. Take this test together with your child now and discuss your results with your doctor. How to take the Childhood Asthma Control Test Step 1 - Let your child respond to the first four questions (1 to 4). If your child needs help reading or understanding the question, you may help, but let your child select the response. Step 2 - Complete the remaining three questions (5 to 7) on your own and without letting your child’s response influence your answers. There are no right or wrong answers. This field is hidden when viewing the formToday's Date YYYY dash MM dash DD Have your child complete this question Q1. How is your asthma today?* Very bad Bad Good Very good Have your child complete this question Q2. How much of a problem is your asthma when you run, exercise or play sports?* It's a big problem, I can't do what I want to do It's a problem and I don't like it It's a little problem but it's okay It's not a problem Have your child complete this question Q3. Do you cough because of your asthma?* Yes, all of the time Yes, most of the time Yes, some of the time No, none of the time Please complete the following questions on your ownQ4. Do you wake up during the night because of your asthma?* Yes, all of the time Yes, most of the time Yes, some of the time No, none of the time Please complete the following question on your ownQ5. During the last 4 weeks, how many days did your child have any daytime asthma symptoms?* Not at all 1 to 3 days 4 to 10 days 11 to 18 days 19 to 24 days Everyday Please complete the following question on your ownQ6. During the last 4 weeks, how many days did your child wheeze during the day because of asthma?* Not at all 1 to 3 days 4 to 10 days 11 to 18 days 19 to 24 days Everyday Please complete the following question on your ownQ7. During the last 4 weeks, how many days did your child wake up during the night because of asthma?* Not at all 1 to 3 days 4 to 10 days 11 to 18 days 19 to 24 days Everyday About you (Adult parent, caregiver or guardian)Relationship to child*Please select option within dropdownParentCaregiver or GuardianFirst Name*Last Name*Email* Phone Number*State*ACTNSWNTQLDSATASVICWAPostcode*Are you of Aboriginal/Torres Strait Islander Origin?*Please select option within dropdownAboriginalTorres Strait IslanderAboriginal and Torres Strait IslanderNo NeitherPrefer not to say About the childFirst Name*Last NameYear of Birth* You have now completed the Childhood Asthma Control Test questions. Please view your child's asthma score and score category below. When you press the submit button, we will send to the email address provided your full responses and results as well as potential next steps you can take for your child's asthma. In addition, all completions between 11th September and 30th October 2025 automatically go into the draw to win one of 20 air purifiers. T&Cs Apply.Asthma Score*Score Category 1Score Category 2Score Category 3NOTE: If your child’s score is 12 or less, his or her asthma may be very poorly controlled. Regardless of your child's score, continue to talk to your healthcare provider. There may be more you and your child's healthcare provider could do to help control your child's asthma symptoms. For any information on the use of the electronic C-ACT, please contact Mapi Research Trust, Lyon, France. Internet: https://eprovide.mapi-trust.org
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