COPD & Breathlessness Assessment
If you have been advised by the surgery to submit a COPD & Breathlessness assessment please use this form.
This assessment will help us measure the impact of COPD (Chronic Obstructive Pulmonary Disease) is having on your wellbeing and daily life. Your score will be used by us to help improve the management of your COPD and get the greatest benefit from treatment.
Please be aware that once this form has been submitted, it will be held within your health record.