Cough Severity Index (CSI)

This questionnaire helps to measure the effect that your cough may have on your day-to-day life.

These are some symptoms that you may be feeling.

Please answer each question.

Choose the response that indicates how frequently you experience the same symptoms.

0-4 Rating System

0 = Never
1 = Occasionally
2 = Some of the time
3 = Most of the time
4 = All of the time


  • Date Format: MM slash DD slash YYYY

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