Symptoms

My Asthma Symptom Diary

Choose a preferred language

Use the chart below to keep track of symptoms. (Make some copies first.) Bring your Asthma Action Plan and this symptom diary to every visit with your healthcare provider. Show your records to your provider. Also ask any question you have. You should have fewer items on your chart as your asthma control gets better.


Asthma symptom diary

Date

Symptoms

Possible triggers

Action taken

Results

Did symptoms make it hard for you to sleep? Yes or No?

3/3

Example:

Wheezing, peak flow 75%

Cold air

2 puffs albuterol, went inside

Symptoms gone in 20 minutes

No

Featured in

Online Medical Reviewer: Allen J Blaivas DO

Online Medical Reviewer: Daphne Pierce-Smith RN MSN

Online Medical Reviewer: Marianne Fraser MSN RN

Date Last Reviewed: 03/01/2024

© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
user headset icon

Need Help? We're Here for You

Our Member and Recipient Services Team is here to help you understand your benefits, find care, or resolve concerns.

800-510-9132
quit smoking icon

Call NC Quitline

Need support to quit smoking, vaping, or to quit other nicotine products? You can receive support including medicines free of charge:

800-784-8669
car and bus icon

Schedule Transportation

Need transportation to a doctor's office, pharmacy, or other covered healthcare service? Contact us to arrange your ride.

800-510-9132
Stethoscope icon

Provider Directory

Need to find a provider like a Primary Care Physician, Specialist, OB/GYN, or a Psychiatrist? 

Provider Directory
Related Articles
Read article
Lung Health
Using a Metered-Dose Inhaler

An inhaler is a pressurized sprayer that delivers a measured amount of medicine. Follow these steps if you're using an inhaler.

Read article
Lung Health
Using a Peak Flow Meter

Here are images that show the steps of using a peak flow meter.

Read article
Lung Health
Using a Nebulizer With a Mask

Here are images that show the steps of using a nebulizer.

Read article
Lung Health
Understanding Asthma Triggers

Triggers are substances or conditions that cause the airways of the lungs to become inflamed and swollen. Some triggers can also set off an asthma attack. In order to control your asthma, you need to control your triggers.