Health Information
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.
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Sunday |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
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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 _______________
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|
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 |
/ |
/ |
/ |
/ |
/ |
/ |
/ |
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Yellow |
/ |
/ |
/ |
/ |
/ |
/ |
/ |
|
Red |
/ |
/ |
/ |
/ |
/ |
/ |
/ |










