Haddenham Surgery

01353 740205

Dispensary: 01353 741575

Asthma review questionnaire

If you are registered for online services, please complete the Questionnaire directly through SystmOne.

If you are not registered for online services, please use the form below.

This form is only for patients REGISTERED at Haddenham Surgery.
  • Please leave a day time telephone number
  • We also need the first line of your address.
  • This questionnaire is for a routine review of your symptoms. If you are experiencing severe shortness of breath at present, please follow your care plan (if you have one) or ring your GP or 999 immediately.

    It is essential to have a good inhaler technique to ensure that your medication gets to the part of your lungs that need it.
    Further information available at: https://www.drinkaware.co.uk/tools/unit-and-calorie-calculator
    Further information available at : www.nhs.uk/smokefree
  • This field is for validation purposes and should be left unchanged.