Jump to:  A   |   B   |   C   |   D   |   E   |   F   |   G   |   H   |   I   |   J   |   K   |   L   |   M   |   N   |   O   |   P   |   Q   |   R   |   S   |   T   |   U   |   V   |   W   |   X   |   Y

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

        /

       /

        /

        /

        /

        /

       /

 

 

 

Reviewed Date: 07-16-2013


Disclaimer: This information is not intended to substitute or replace the professional medical advice you receive from your child's physician. The content provided on this page is for informational purposes only, and was not designed to diagnose or treat a health problem or disease. Please consult your child's physician with any questions or concerns you may have regarding a medical condition.