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 Confidence
1 2 3 4 5 6 7
No
Confidence
Little
Confidence
Some
Confidence
Moderate
Confidence
Confident Very
Confident
Extremely
Confident
1. How confident are you in your knowledge of the EPR3 asthma guidelines?

1 2 3 4 5 6 7
2. How confident are you in your ability to diagnose asthma patients in your practice?
1 2 3 4 5 6 7

 Use In Practice
1 2 3 4 5 6 7
Never Rarely Sometimes About Half
of the Time

Often Most of
the Time
Always
How often do you use or provide the following to your patients with asthma?
1. The Asthma Control Test
1 2 3 4 5 6 7
2. Instruction for use of inhaler?
1 2 3 4 5 6 7
3. Educational materials?
1 2 3 4 5 6 7
4. A written action plan?
1 2 3 4 5 6 7