Office Visit Prep Tool

1. How often do you experience the following symptoms?



Chest tightness

Shortness of breath

Bringing up mucus

2. Over the past three months, your symptoms have:

3. Do you think UTIBRON NEOHALER is helping to treat your COPD symptoms?

If you think UTIBRON NEOHALER isn’t helping your symptoms, consult with your doctor to make sure you’re using your NEOHALER device correctly.

4. Do you continue to take UTIBRON NEOHALER twice a day, even when you’re feeling good?

5. Do you use a rescue inhaler? (for sudden symptoms of COPD)