Free tool
Asthma symptom control score
Four yes/no questions about the last 4 weeks, taken straight from GINA's own symptom control tool. Takes about a minute and gives you a control level you can bring to your doctor.
Answer for the last 4 weeks.
Inside Sam's Asthma program
The same GINA check-in, every month
Sam asks these same four questions once a month, so you can watch your control level trend over time instead of a single score.
A Monthly Check-In, GINA-Aligned
Once a month, Sam asks four short questions covering the same domains the GINA 2024 guidelines use to describe asthma control, scored on GINA's own bands. It's a quick way to see your own trend over time.
- Night Shifts in Your Sleep
- Recognizing Your Triggers
- Ready for Your Doctor

How to calculate your asthma symptom control score
- 1Answer the 4 questions. For the last 4 weeks, answer yes or no to daytime symptoms, night waking, reliever use, and activity limitation.
- 2Read your control level. Each yes counts one point. 0 points is well controlled, 1-2 is partly controlled, 3-4 is uncontrolled - GINA's own published scoring.
GINA's Assessment of symptom control (Box 2-2 in the Global Strategy for Asthma Management and Prevention) is a free 4-question check covering the last 4 weeks: daytime symptoms, night waking, reliever use, and activity limitation. Each "yes" counts one point, and the total of 0, 1-2, or 3-4 sorts into GINA's own three control levels - well controlled, partly controlled, or uncontrolled.
Related reading: How exercise, sleep, and stress affect your asthma triggers
Frequently Asked Questions
Does the GINA asthma control score diagnose asthma?+
No. This tool classifies your own 4 answers against GINA's own published control levels - it doesn't diagnose asthma or replace a doctor's assessment. Only a doctor can diagnose asthma.
Can I check my asthma control without the Sam app?+
Yes. This score works from your own memory of the last 4 weeks - no app or account needed. Sam's Asthma program runs the same GINA-aligned check-in automatically once a month if you want to track it over time.
What does an uncontrolled GINA asthma score mean?+
It's a category from GINA's own published scoring, not an emergency signal. It means 3 or 4 of the 4 questions were "yes" over the last 4 weeks, and it's worth discussing with your doctor. If you're having a severe asthma symptom right now, follow your asthma action plan and seek medical help.
Does this score apply if my reliever is ICS-formoterol?+
Not reliably. GINA's own reliever question in this tool is restricted to short-acting reliever inhalers (SABA) and excludes doses taken before exercise. If your doctor has you on an ICS-formoterol maintenance-and-reliever regimen, that question - and therefore your total score - may not match GINA's intended classification. Discuss your control level with your doctor directly.
This tool is for general information only and does not provide medical advice, diagnosis, or treatment. Your result classifies the answers you entered against GINA's own published scoring - it is not a measurement Sam or any wearable device takes, and it does not diagnose, predict, or manage asthma or asthma attacks. Always follow your doctor's asthma action plan and seek medical help for severe symptoms.