COPD Assessment

If you have been advised by the surgery to submit a COPD 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 Grade will be used by us to help improve the management of your COPD and get the greatest benefit from treatment.

COPD Assessment

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.

MRC DYSPNOEA SCALE (FOR COPD PATIENTS)