COPD Assessment Test (CAT) v2

How is your COPD? The questionnaire will help you and your healthcare professional measure the impact COPD is having on your well being and daily life. Your answers, and test score, can be used by you and your healthcare professional to help improve the management of your COPD and get the greatest benefit from treatment. For each statement, please rate your symptoms in the way that best describes you currently. There is only one response allowed for each statement. For each statement, ‘0’ is the lowest score with no symptoms, and ‘5’ is the highest score, with the most symptoms. By sending in this form you are agreeing to receive email and/or sms communications from us. We will only use this information to communicate with you about Penicuik Medical Practice and the service we provide.

Last Updated: 10/02/2023

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COPD Assessment Test

Please rate your answers with 0 being the lowest, 5 being the highest

I never cough [0] --------> I cough all the time [5] *

I have no phlegm (mucus) in my chest at all [0] --------> to my chest is completely full of phlegm (mucus) [5] *

My chest does not feel tight at all [0] -------> my chest feels very tight[5] *

When I walk up a hill/flights of stairs I am not breathless [0] -----> when I walk up a hill or one flight or stairs I am very breathless? [5] *

I am not limited doing activities at home [0] -----> I am limited doing activities at home? [5] *

I am confident leaving my home despite my lung condition[0] ----> I am not condition leaving my home because of my lung condition? [5] *

I sleep soundly [0] ------> I don't sleep soundly [5] *

I have lots of energy [0] ----> I do not have lots of energy? [5] *

THIS FORM COLLECTS YOUR NAME, DATE OF BIRTH, EMAIL, OTHER PERSONAL INFORMATION AND MEDICAL DETAILS. THIS IS TO CONFIRM YOU ARE REGISTERED WITH THE PRACTICE, TO ALLOW THE PRACTICE TEAM TO CONTACT YOU AND ALSO TO UPDATE YOUR MEDICAL RECORDS HELD BY THE PRACTICE AND OUR PARTNERS IN THE NHS. PLEASE READ OUR PRIVACY POLICY TO DISCOVER HOW WE PROTECT AND MANAGE YOUR SUBMITTED DATA *

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COPD Assessment Test (CAT) v2

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