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Asthma Control Test (ACT)

Reflect on the past four weeks. Understand your score. Talk with your clinician.

Ages 12+

Use the age-appropriate test

Last 4 weeks

Keep the same recall period

Prepare for your review

Bring your score and action plan

Your five ACT item scores

0 of 5 entered

Use the official ACT questionnaire and its answer key.

Open official questionnaire (PDF, opens a new tab)
Daily activity impact

Select the score from your official response.

Breathlessness

Select the score from your official response.

Night-time symptoms

Select the score from your official response.

Reliever use

Select the score from your official response.

Overall control

Select the score from your official response.

ACT SCORE

— / 25

Awaiting responses

Complete all five items

Enter the five scores from your official questionnaire to see your total.

5–1516–1920–25
5151925

This is a control score, not an emergency severity scale.

A clearer picture of control

Illustrative healthy lungs, trachea and bronchi; not a patient scan.

Symptoms, sleep and daily activity matter.

A total score supports a conversation; it cannot explain every cause of breathlessness.

The five areas are scored domains, not separate diagnoses.

Before your appointment

  • Bring your current medicines
  • Note recent attacks or urgent visits
  • Review your written asthma action plan

Understanding the score

Published ACT control bands
20–25Well controlled
16–19Not well controlled
5–15Poorly controlled

Control and future attack risk are not identical. A high score does not rule out an attack.

Frequently asked questions

Who can use this version?

This score companion is for people aged 12 years and older with diagnosed asthma. Complete the official adult/adolescent ACT questionnaire first. Children aged 4–11 use a different childhood test; do not apply these five-item scores or bands to that test.

Does this test diagnose asthma?

No. ACT assesses recent symptom control in people with diagnosed asthma. This page totals official item scores; it is not a replacement questionnaire, diagnostic test or emergency assessment. Seek clinical evaluation for unexplained symptoms.

What if one item is unanswered?

All five official item scores are required. A missing response is not scored as zero, averaged or estimated. The result remains blank until all five are entered.

Should I change my medication?

Do not start, stop or adjust medication based on this result alone. Follow your existing clinician-provided asthma action plan and discuss the result with your healthcare professional. Seek emergency help for severe breathing difficulty, regardless of your score.

Sources & References

ACT is a QualityMetric trademark. Official questionnaire wording and permissions remain with its rights holders. References do not imply endorsement.

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Reflect on the past four weeks. Understand your score. Talk with your clinician.

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Updated: October 7, 2026