Occupational Chronic Bronchitis Risk Assessment Tool

Have you worked in an environment with smoke, dust, or chemicals for a long time?

Never

Sometimes

Often

Almost daily

Do you frequently come into contact with large dust particles or toxic substances?

Never

Sometimes

Often

Almost daily

Are you exposed to cigarette smoke or vapor in your work environment?

Never

Sometimes

Often

Almost daily

Do you frequently work in a high humidity environment?

Never

Sometimes

Often

Almost daily

Have you ever had bronchitis or pneumonia?

Never

Yes, but only once

Yes, several times

Yes, many times