Tell us whether you accept cookies

We've put some small files called cookies on your device to make our site work. We would also like to use analytical cookies to understand how our site is used and improve user experience. Analytical cookies send information to Google Analytics.

Let us know your preference. We will use a cookie to save your choice. Before you make your choice you can read more about our cookie policy.

Springfield Medical Centre NHS GP Surgery in Eccles

COPD review

COPD Assessment

Section

Confirmation of consent for information about your/the patient’s health to be sent to the email address provided

Assessment

Coughing

Coughing: from 0 (I never cough) to 5 (I cough all the time) *

Phlegm

Phlegm: from 0 (I have no phlegm – mucus – in my chest at all) to 5 (My chest is full of phlegm – mucus) *

Tightness

Tightness: from 0 (My chest does not feel tight at all) to 5 (My chest feels very tight) *

Stairs

Stairs: from 0 (When I walk up a hill or one flight of stairs I am not breathless) to 5 (When I walk up a hill or one flight of stairs I am very breathless) *

Activities

Activities: from 0 (I am not limited doing any activities at home) to 5 (I am very limited doing any activities at home) *

Leaving

Leaving: from 0 (I am confident leaving my home despite my lung condition) to 5 (I am not at all confident leaving my home because of my lung condition) *

Sleep

Sleep: from 0 (I sleep soundly) to 5 (I don’t sleep soundly because of my lung condition) *

Energy

Energy: from 0 (I have lots of energy) to 5 (I have no energy at all) *

If you are human, leave this field blank.

384 Liverpool Road
Eccles
Manchester
M30 8QD

Get directions

0161 871 2450

Feedback and complaints

Wellbeing

Accessibility statement

Website policies