Call Us 1300 952 808

Search

  • Home
  • About Us
  • News
  • For Patients
    • ENT Conditions
    • Before Your Visit
    • ENT Office Procedures
    • ENT Operations
    • Your Surgical Journey
    • Our Fees
  • For Doctors
    • Refer Patients
    • Manage ENT conditions
    • Perform ENT examinations
  • Contact us
  • Admin
    • Referral & Script Uploads
    • Hospital Booking Forms

Dyspnea Index (DI)

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
I have trouble getting air in

I feel tightness in my throat when I am having my breathing problem

It takes more effort to breathe than it used to

Changes in the weather affect my breathing problem.

My breathing gets worse with stress.

I make sound/noise breathing in.

I have to strain to breathe

My shortness of breath gets worse with exercise or physical activity

My breathing problem makes me feel stressed.

My breathing problem causes me to restrict my personal and social life.

clock.png

Time's up

Download File

Book Appointment

Make an appointment with one of our specialists.

Make a booking

Have a question?

Call Us 1300 952 808

info@melbentgroup.com.au

Patient registration

Refer a Patient

Refer your patient to see one of our specialists.

Refer Now

Navigation

  • Home
  • For Doctors
  • About Us
  • News
  • Contact us
  • For Patients

Contact Us

  • Phone 1300 952 808
  • Email info@melbentgroup.com.au
  • Address Level 1, 449 Swan Street Richmond VIC 3121
  • Privacy Policy.
  • Submit Feedback.