Male Questionnaire
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This section deals with breathing problems.


Do you have Chronic Obstructive Pulmonary Disease (COPD), also known as Emphysema or Chronic Bronchitis?
  • Don't know
  • No - definitely not
  • Mildly
  • Moderately
  • Severely


If you ever experience shortness of breath when you are not physically active, how would you describe it?
  • I am never breathless when at rest / don't know
  • Occasional/mild breathlessness, not a big problem
  • Regular/moderate breathlessness, quite worrying
  • Serious sudden shortness of breath, very worrying


Does it take significantly longer, or more effort, for you to breathe out than to breathe in?
  • Don't know
  • No, breathing out is just as easy as breathing in
  • I sometimes have more difficulty breathing out
  • I usually have more difficulty breathing out


Do you ever breathe rapidly, taking many short/shallow breaths instead of longer, deeper breaths? At rest, an adult normally breathes in and out once every 4 to 8 seconds.
  • Don't know
  • No, I breathe at a normal rate
  • Yes, I sometimes breathe rapidly while at rest
  • Yes, I often/always breathe rapidly while at rest


Do you wheeze? If you are using respiratory medication (e.g. for asthma), tell us if you wheeze when you are not using it.
  • Don't know
  • No, not at all
  • Only after exercise
  • Occasionally / slightly
  • Much of the time / severely