1 Yes

2 No

HeRph

Have you at any time in the past 12 months been woken at night by an

attack of shortness of breath?

1 Yes

2 No

HeRpi

Have you ever had attacks of shortness of breath with wheezing?

1 Yes

2 No

IF has ever had attacks of shortness of breath with wheezing: HeRpi =

| HeRpj

| Is/Was your breathing absolutely normal between attacks?

| 1 Yes

| 2 No

ENDIF