Patient Survey on Inhalers

1. Do you know the difference between a "reliever" inhaler and a "maintenance" inhaler?

Yes and I can clearly explain the difference

Yes, I understand the basic difference but not the details

I have heard these terms but I'm not sure what they mean

No, I do not know the difference

I'm confused about which inhaler is for what purpose

2. Which statement best describes the difference between a reliever and a maintenance inhaler?

A reliever inhaler is used daily to prevent symptoms; a maintenance inhaler is used only when symptoms occur

A reliever inhaler is used only when symptoms occur; a maintenance inhaler is used daily to prevent symptoms

Both are used only when symptoms occur

Both are used daily

I am not sure

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)?

Always as prescribed

Most of the time

Sometimes

Rarely, I only use the inhaler when I have symptoms

Never

Not applicable (I do not have a daily inhaler)

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?

Once a day

Twice day

More than twice a day

3-5 times a week

Once a week or less

I do not use a reliever inhaler

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?

0–1

2–3

4–6

>6

Not sure

7. How familiar are you with the concept of Maintenance and Reliever Therapy (MART)?

I have never heard of MART

I have heard the term but do not know what it means

I think MART means using two separate inhalers for maintenance and relief

I think MART means using one inhaler for both daily maintenance and symptom relief

8. If you have been prescribed MART, were you told how to use it daily and also for relief of symptoms?

Yes, clearly

Yes, somewhat

No

Not applicable

9. Has your inhaler technique been checked (demonstrated with you) in the last 2 follow-up visits?

Yes, a healthcare professional watched me use it and corrected my technique

Yes, I was asked to demonstrate but did not receive detailed feedback

Yes, I received verbal instructions only (no demonstration)

No, my technique has not been checked at all

I'm not sure / I don't remember

10. Who explained inhaler use to you? (select all that apply)

Doctor

Pharmacist

Nurse

Health educator

Manufacturer materials (leaflet/video)

No one

Other (specify)

11. How confident are you that you are using your inhaler correctly?

Very confident

Somewhat confident

Not confident

Not sure

Patient Survey on Inhalers

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

Demographic Information

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