A Kids' Asthma Journal

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. This may be something you can do with a parent's or guardian's help. If your parent or guardian has asthma, he or she can also use a journal to track his or her own symptoms, too.

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./p.m.

a.m./p.m.

a.m./p.m.

a.m./p.m.

a.m./p.m.

a.m./p.m.

a.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./p.m.

a.m./p.m.

a.m./p.m.

a.m./p.m.

a.m./p.m.

a.m./p.m.

a.m./p.m.

Green

        /

       /

        /

        /

       /

        /

       /

Yellow

        /

       /

       /

        /     

       /

        /

       /

Red

        /

       /

        /

        /

        /

        /

       /

 

 

 

 
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