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This questionnaire will ask a series of questions about your asthma symptoms over the last 4 weeks.
Breathe Rockford 2026 · Healthy lungs. Brighter tomorrows.
Screening can find it early.
Free & discounted lung cancer screenings. No symptoms needed, early detection saves lives.
Every screening is reviewed by a board-certified pulmonologist, with a clear next step if anything needs a closer look.
Please answer the questions to the best of your ability. This will give us a score which is suggestive of excessive sleepiness.
If you answered yes to all three questions, you are at high risk for lung cancer. Please contact your doctor for lung cancer screening CT chest or call RPC to schedule one.