Symptom & Risk-Factor Checklist
Use this checklist to organize non-identifying symptom information for a conversation with a licensed healthcare professional. It does not diagnose TBM, ECAC, EDAC, or any other condition.
No identity and no saved assessment
This checklist does not ask for a name, date of birth, email, phone number, address, or medical-record number. Your selections remain only in current browser memory and disappear when the app is refreshed or closed.
Do you experience a chronic cough that does not improve with typical treatments?
Do you have wheezing, especially when breathing out?
Do you experience shortness of breath during physical activity?
Do you have frequent respiratory infections (pneumonia, bronchitis)?
Do you have difficulty clearing mucus or secretions from your airways?
Do you experience noisy breathing or a rattling sound in your chest?
Do your breathing symptoms change with body position (e.g., worse lying down)?
Have you noticed a significant decline in your ability to exercise or be physically active?
Have you been diagnosed with asthma that does not respond well to typical asthma treatments?
Have you ever fainted, felt lightheaded, or nearly passed out during a coughing episode?
Answer at least 5 symptom questions to continue (0 answered).
Severe or rapidly worsening breathing difficulty, a feeling of airway obstruction, chest pain, coughing blood, fainting, confusion, blue lips or face, or other emergency symptoms require immediate medical attention. Call 911 in the United States.