Think You Have Severe or Worsening COPD?

Before you talk to your doctor, think about how you have been handling your COPD. These questions can help you organize your thoughts, so you and your doctor can focus on what matters most to you.*

If you would like a digital copy of your responses, you may enter your email address. Providing an email address is completely optional. Your email address and questionnaire responses are not stored, saved, or shared, and you will not receive additional emails after completing the questionnaire.

*This questionnaire is reflective and does not serve as a substitute for medical advice. Always seek care from your doctor or health care provider if you have COPD symptoms.

Access a PDF version of the questionnaire.