Breathless to Breathe Easy

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Breathless to Breathe Easy

This is a self assessment tool to find out how's your breathing function. The online RespiRehab program can improve your health and well being

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* Indicates required question

What's Your Age (in years) *

Your answer

Select your Gender *

Choose

Female

Male

Prefer not to say

Do you currently have any of the following conditions? (leave blank for None)

Hypertension (blood pressure)

Diabetes

Any other serious ailment

Do you worry about getting out of breath? *

Yes

No

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