How to complete this Questionnaire:
- These are statements many people have used to describe their sense of breathlessness and breathing problem, and the effects of their breathing on their lives.
- Please circle the response that indicates how frequently you experience the same symptoms
- If you do not have a problem with breathing, please circle zero (0) in response to these statements
0-4 Rating Scale
0 = Never
1 = Almost never
2 = Sometimes
3 = Almost always
4 = Always
0 = Never
1 = Almost never
2 = Sometimes
3 = Almost always
4 = Always
