Patient Survey on Inhalers

A Survey to Evaluate Patients' Understanding and Practices Related to Reliever and Maintenance Inhaler Use in India

Demographic Information

Informed Consent:

By proceeding with the survey, you confirm that you have read and understood the purpose of this study and voluntarily agree to participate. Your participation is entirely voluntary, and you may withdraw at any time without any consequences. No personal identifiers will be disclosed, and all data will be analyzed in aggregate for research and publication purposes only.

Please choose the option that best describes you. Choose only one option, unless otherwise mentioned. Your answers are confidential.

Survey questionnaire

1. Do you know the difference between a "reliever" inhaler and a "maintenance" inhaler?
2. Which statement best describes the difference between a reliever and a maintenance inhaler?
3. How regularly do you take the inhaler that is prescribed for daily control of your symptoms (not the one for quick relief during attacks)?
4. What makes using your inhaler that is prescribed for daily use regularly difficult? (select all that apply)
5. How often do you use the inhaler that is meant to give quick relief during sudden breathing problems or attacks?
6. In the past 12 months, approximately how many inhalers have you used that are meant for quick relief during sudden breathing problems or attacks?
7. How familiar are you with the concept of Maintenance and Reliever Therapy (MART)?
8. If you have been prescribed MART, were you told how to use it daily and also for relief of symptoms?
9. Has your inhaler technique been checked (demonstrated with you) in the last 2 follow-up visits?
10. Who explained inhaler use to you? (select all that apply)
11. How confident are you that you are using your inhaler correctly?