Breathing Pattern Dysfunction Quiz

1. During activity or exercise, how does your breathing feel?

Controlled Some difficulty Quickly limiting

2. Overall, how much do breathing issues affect your daily life?

Not at all Occasionally Frequently or significantly

3. In the past 4 weeks, how often have you felt shortness of breath at rest or during mild activity?

4. How often do you feel unable to take a satisfying breath?

5. Do you mostly breathe through your mouth?

Yes No

6. When you breathe, which area moves more?

Upper chest rises more Belly moves more Both the same

7. Does stress or emotion make your breathing symptoms worse?

Yes No

8. Do your breathing symptoms affect your sleep?

Yes No

9. Do you avoid certain activities because of your breathing?

Yes No

10. Do you feel limited in exercise or daily tasks due to your breathing?

Yes No

11. Body Oxygen Level Test (BOLT): How many seconds can you comfortably hold your breath after a normal exhale?

Less than 10 seconds 10–20 seconds 20–30 seconds More than 30 seconds