Asthma

2. Does anyone in your family has or ever had asthma?

Yes No

3. Do you use any inhalers?

Yes No If yes, please state the name

4. Have you ever had an IgE or IgG test?

Yes No

5. Are you allergic to anything?

Yes No No If yes, please state…

6. Have you ever been hospitalised for an asthma related issue?

Yes No

7. Do you have any food allergies?

Yes No

8. Do you drink cow’s milk or consume any dairy products?

Yes No