This five-question screener may help you identify if you
are at risk for COPD. Take the screener, then, print and share the results with
your Doctor or Healthcare Professional (e.g.., Nurse Practitioner, Respiratory Therapist, Physician's Assistant, etc) at your next visit. This survey asks questions
about you, your breathing and what you are able to do. To complete the survey, click
the circle that best describes your answer for each question below.
During the past 4 weeks, how much of the time did you feel short of breath?
Do you ever cough up any "stuff," such as mucus or phlegm?
Please select the answer that best describes you in the past 12 months.
I do less than I used to because of my breathing problems.
Have you smoked at least 100 cigarettes in your ENTIRE LIFE?
Continue
Download a PDF of the screener here.
COPD Population Screener is a trademark of QualityMetric Incorporated.
*The screener is validated for use in the United States and was published in
the Journal of Chronic Obstructive Pulmonary Disease, April 2008, Martinez, F. J.,
Raczek, A. E., Seifer, F. D., Conoscenti, C. S., Curtice, T. G. & D'Eletto,
T., et al. (2008). Development and Initial Validation of a Self-Scored COPD Population
Screener Questionnaire (COPD-PS). COPD: Journal of Chronic Obstructive Pulmonary
Disease, 5:2, 85-95.
