Transcription of Yourname: Today’sdate - catestonline.org
1 012345 XYour name: today s date:How is your COPD?Take the COPDA ssessmentTest (CAT)This questionnaire will help you and your healthcare professional measure the impact COPD (Chronic ObstructivePulmonary Disease) is having on your wellbeing and daily answers, and test score, can be used by you andyour healthcare professional to help improve the management of your COPD and get the greatest benefit from each item below, place a mark (X) in the box that best describes you currently. Be sure to only select one responsefor each : I am very happyI am very sadTOTALSCORESCORECOPD Assessment Test and CAT logo is a trademark of the GlaxoSmithKline group of companies. 2009 GlaxoSmithKline. All rights never cough01234501234501234501234501234501234 5012345012345I cough all the timeI have no phlegm (mucus)inmychestatallMy chest is completelyfull of phlegm (mucus)My chest does notfeel tight at allMychestfeelsverytightWhen I walkup a hill orone flight of stairs I amnot breathlessWhen I walkup a hill orone flight of stairs I amvery breathlessI am not limited doingany activities at homeI am very limited doingactivities at homeI am confident leavingmy home despite mylung conditionIamnotatallconfidentleavingmyho mebecauseofmylungconditionI sleep soundlyI don t sleep soundlybecause of my lungconditionI have lots of energyI have no energy at allCOPD Assessment Test and the CAT logo is a trade mark of the GlaxoSmithKline group of companies.
2 2009 GlaxoSmithKline group of companies. All rights Updated: February 24, 2012
