Please choose one answer from the five choices below that best describes the frequency of your symptoms over the past month: 0, never; 1, occasionally; 2, sometimes; 3, often; 4, always Questions Never Occasionally Sometimes Often Always G1 How often do you have a cough during the day? 0 1 2 3 4 G2 How often do you have a cough at night and in the early morning? 0 1 2 3 4 G3 How often do you get phlegm during the day? 0 1 2 3 4 G4 How often do you get phlegm at night and in the early morning? 0 1 2 3 4 G5 How often do you get a wheezing or whistling sound in your chest during the day? 0 1 2 3 4 G6 How often do you get a wheezing or whistling sound in your chest at night and in the early morning? 0 1 2 3 4 G7 How often do you have difficulty breathing during the day? 0 1 2 3 4 G8 How often do you have difficulty breathing at night and in the early morning? 0 1 2 3 4 G9 How often do you have a runny nose? 0 1 2 3 4 G10 How often do you sneeze? 0 1 2 3 4 G11 How often do you have nasal congestion? 0 1 2 3 4 G12 How often do you lose your sense of smell? 0 1 2 3 4