A Kids' Asthma Journal

Do you want to gain better control over your asthma? Put it in writing! By following the examples below, you can use a journal to track day-to-day changes in your asthma. It may be something you can do with a parent or guardian. If your parent or guardian has asthma, he or she can also use a journal to track his or her own symptoms.

Make copies of this page before you write on it so you can use it again!

Starting date:

Symptoms

Check the boxes below to show when you had symptoms.

 

Sunday

Monday

Tuesday

Wednesday

Thursday 

Friday   

Saturday

 

a.m.

a.m.

a.m.

a.m.

a.m.

a.m.

a.m.

 

p.m.

p.m.

p.m.

p.m.

p.m.

p.m.

p.m.

Coughing

             

Wheezing

             

Breathing problems

             

Chest tightness

           

 

Peak flow

This is a measure of how well your lungs are working. Below, write down your peak-flow numbers for the green (doing well), yellow (getting worse), and red (medical alert) zones. Then, using the chart, write each peak-flow reading on the matching zone line. Your doctor can help you understand your numbers and tell you what to do about yellow and red readings.

Green: Your peak flow is more than

Yellow: Your peak flow is between                       and                    

Red: Alert! Your peak flow is less than                         

 

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday   

Saturday

 

a.m.

a.m.

a.m.

a.m.

a.m.

a.m.

a.m.

 

p.m.

p.m.

p.m.

p.m.

p.m.

p.m.

p.m.

Green

             

Yellow

             

Red

           

 

 

 


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