Latar Belakang: Penyakit Paru Obstruktif Kronik (PPOK) merupakan masalah kesehatan masyarakat yang sering terlambat terdeteksi, terutama di layanan kesehatan primer. Kurangnya kesadaran masyarakat dan keterbatasan akses pemeriksaan spirometri menyebabkan banyak kasus PPOK baru teridentifikasi pada stadium lanjut, sehingga upaya skrining sederhana menjadi sangat penting di fasilitas kesehatan primer. Skrining dini menggunakan kuesioner PUMA dapat membantu mengidentifikasi individu berisiko tinggi PPOK secara cepat dan efisien. Tujuan: Penelitian ini bertujuan untuk menggambarkan tingkat risiko PPOK berdasarkan kuesioner PUMA pada pasien di Puskesmas Binong. Metode: Penelitian deskriptif kuantitatif dengan pendekatan cross-sectional dilakukan pada 385 responden yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan melalui kuesioner PUMA dan dianalisis secara deskriptif menggunakan SPSS untuk menggambarkan distribusi frekuensi dan persentase variabel penelitian. Hasil: Mayoritas responden berjenis kelamin perempuan (53%), berusia 50–59 tahun (41,3%), berpendidikan SMA (50,4%), dan bekerja sebagai ibu rumah tangga (25,7%). Sebanyak 77,1% responden tidak merokok, namun 32,2% masih terpapar asap rokok secara pasif. Gejala sesak napas dilaporkan oleh 54,3% responden, produksi dahak 32,5%, dan riwayat batuk 38,7%. Semua responden belum pernah melakukan pemeriksaan spirometri. Berdasarkan kuesioner PUMA, 86% responden termasuk risiko rendah PPOK, sedangkan 14% berisiko tinggi. Kesimpulan: Deteksi dini risiko PPOK menggunakan kuesioner PUMA di Puskesmas Binong efektif untuk mengidentifikasi individu berisiko tinggi. Meskipun mayoritas berisiko rendah, paparan asap rokok pasif dan gejala sesak napas masih cukup tinggi, sehingga diperlukan intervensi edukasi dan pemeriksaan lanjutan untuk pencegahan PPOK. / Background: Chronic Obstructive Pulmonary Disease (COPD) is a public health problem that is often detected late, especially in primary healthcare settings. Lack of public awareness and limited access to spirometry testing result in many new COPD cases being identified at advanced stages, making simple screening efforts very important in primary health facilities. Early screening using the PUMA questionnaire can help quickly and efficiently identify individuals at high risk of COPD. Objective: This study aims to describe the level of COPD risk based on the PUMA questionnaire among patients at Puskesmas Binong. Methods: A quantitative descriptive study with a cross-sectional approach was conducted on 385 respondents selected using purposive sampling. Data were collected through the PUMA questionnaire and analyzed descriptively using SPSS to describe the frequency distribution and percentage of research variables. Results: The majority of respondents were female (53%), aged 50–59 years (41.3%), had a high school education (50.4%), and worked as housewives (25.7%). A total of 77.1% of respondents were non-smokers, but 32.2% were exposed to passive smoking. Symptoms of shortness of breath were reported by 54.3% of respondents, sputum production by 32.5%, and a history of cough by 38.7%. None of the respondents had ever undergone spirometry testing. Based on the PUMA questionnaire, 86% of respondents were classified as low risk for COPD, while 14% were at high risk.