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Breathing Questionnaire

The Self Evaluation of Breathing Questionnaire

Scoring: (0) never/not true at all; (1) occasionally/a bit true; (2) frequently-mostly true; and, (3) very frequently/very true

"*" indicates required fields

1. I get easily breathless out of proportion to my fitness*
2. I notice myself breathing shallowly*
3. I get short of breath reading and talking*
4. I notice myself sighing*
5. I notice myself yawning*
6. I feel I cannot get a deep or satisfying breath*
7. I notice that I am breathing irregularly*
8. My breathing feels stuck or restricted*
9. My ribcage feels tight and cannot expand*
10. I notice myself breathing quickly*
11. I get breathless when I’m anxious*
12. I find myself holding my breath*
13. I feel breathless in association with other physical symptoms*
14. I have trouble coordinating my breathing when I am speaking*
15. I can’t catch my breath*
16. I feel that the air is stuffy, as if not enough air in the room*
17. I get breathless even when I am resting*
18. My breath feels like it does not go in all the way*
19. My breath feels like it does not go out all the way*
20. My breathing is heavy*
21. I feel that I am breathing more*
22. My breathing requires work*
23. My breathing requires effort*
24. I find myself breathing through my mouth during the day*
25. I breathe through my mouth at night while I sleep*
0

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