Do you? How do you feel about it? I think I'd feel less self-conscious if I didn't use a spacer, because the inhaler itself is so small and discreet.
I think if I was in a really bad way I wouldn't give a dam, but I never am. My asthma is very mild, just not yet well-controlled. I have symptoms most days. I know from experience that it never escalates if I don't use the reliever, but the Asthma Nurses have drummed it into me that I must nonetheless use the reliever when I have symptoms.