Candida Questionaire

 

Section A: History

For each of your symptoms, enter the appropriate figure in the point score column: If a symptom is occasional or mild: 3 points. If a symptom is frequent and/or moderately severe: 6 points. If a symptom is severe and/or disabling: 9 points. Add total score and record it at the end of this section.


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Fatigue or lethargy
Feeling of being ‘drained’
Depression or manic depression

Numbness, burning, or tingling

Headache
Muscle aches
Muscle weakness or paralysis
Pain and/or swelling in joints
Abdominal Pain
Constipation or diarrhea
Bloating, belching, or intestinal gas
Troublesome vaginal burning, itching, or discharge
Prostatitis
Impotence
Loss of sexual desire or feeling
Endometriosis
Cramps and/or other menstrual irregularities
Premenstrual tension
Attacks of anxiety or crying
Cold hands or feet, low body temperature
Hypothyroidism
Shaking or irritable when hungry
Cystitis or interstitial cystitis

 

Section B Total:

 

Section C: Other Symptoms

 

For each of your symptoms, enter the appropriate figure in the point score column: If a symptom is occasional or mild: 1 point. If a symptom is frequent and/or moderately severe: 2 points. If a symptom is severe and/or disabling : 3 points. Add total score and record it at the end of this section.
 
Drowsiness, including inappropriate drowsiness
Irritability
Incoordination
Frequent mood swings
Insomnia
Dizziness/loss of balance
Pressure above ears...feeling of head swelling
Sinus problems...tenderness of cheekbones or forehead
Tendency to bruise easily
Eczema, itching eyes
Psoriasis
Chronic hives (urticaria)
Indigestion or heartburn
Sensitivity to milk, wheat, corn, or other common foods
Mucus in stools
Rectal itching
Dry mouth or throat
Mouth rashes, including ‘white’ tongue
Bad breath
Foot, hair or body odor not relieved by washing
Nasal congestion or postnasal drip
Nasal itching
Sore throat
Laryngitis, loss of voice
Cough or recurrent bronchitis
Pain or tightness in chest
Wheezing or shortness of breath
Urinary frequency or urgency
Burning on urination
Spots in front of eyes or erratic vision
Burning or tearing eyes
Recurrent infections or fluid in ears
Ear pain or deafness

 

Section C Total:

Add totals from sections A, B and C to get your Grand Total

Grand Total

 

The Grand Total Score will help you decide if your health problems are yeast connected. Scores in women will run higher, as 7 items in the questionnaire apply exclusively to women, while only 2 apply exclusively to men.

Yeast-connected health problems are almost certainly present in women with scores over 180, and in men with scores over 140

Yeast-connected health problems are probably present in women with scores over 120, and in men with scores over 90.

Yeast-connected health problems are possibly present in women with scores over 60, and in men with scores over 40.

With scores of less than 60 in women and 40 in men, yeasts are less apt to cause health problems.

This questionnaire is based on Dr. Willliam Crook’s book The Yeast Connection

Questions or Comments?

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