Chronic Cough quiz

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Zip Code

Are you 18 years of age or older?

Yes

No

Do you cough some or most days?

Yes

No

How long have you had this cough?

One week

4 weeks

8 weeks or more

Did your chronic cough start or get worse with what seemed like a cold or flu-like illness?

Yes

No

Not Sure

Is your cough affected by changes in the season, temperatures, humidity or air quality issues?

Yes

No

Have you visited a doctor for your cough?

Yes

No

Has a doctor performed any of the following because of your cough? Spirometry, X-ray or CT scans of the chest and/or sinus, or a trial of oral steroids like prednisone or Medrol?

Yes

No

Are you currently taking an ACE inhibitor to treat high blood pressure such (such as lisinopril/Zestril or enalapril/Vasotec)?

Yes

No

Do you currently use any tobacco product (cigarettes, electronic cigarettes, pipe, hookah, smokeless, etc) or smoke marijuana?

Yes

No

Have you ever been diagnosed by a health care provider with any of the following and are still coughing?

Are you currently being treated or taking any prescription medication for your chronic cough?

Yes

No

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