This questionnaire is designed for adults and the scoring system is not appropriate for children.
It lists factors in your medical history which promote the growth of candida albicans (Section A)
and symptoms commonly found in Individuals with yeast connected illness
(Section B and C.)
For each "YES" answer In Section A, circle the Point Score In that section.
Total your score and record it In the box at the end of the section. Then move on to Sections B and C and score as directed.
Filling out and scoring this questionnaire should help you and your physician evaluate the possible role of candida In contributing to your health problems. Yet It will not provide an automatic "YES" or "NO" answer.
SECTION A: HISTORY
1. Have you taken tetracycline (Sumycin, Parmycin, Vibramycin, rylinocin, etc.) or other antibiotics for acne for 1 month (or longer)?
35
2. Have you, at any time In your life, taken other "broad spectrum" antibiotics" for respiratory, urinary or other Infections
(for 2 months or longer, or in shorter courses 4 or more-times In a 1 year perlod?)
35.
3. Have you uaken a broad spectrum antibiotic drug even a single course?
6
4. Have you, at any time In your life, been bothered by persistent prostatItis, vaginitis or other problems affecting your reproductive organs?
25
5. Have you been pregnant 2 or more times?
5
1 time?
3
6. Have you taken birth control pills for more than 2 years?
15
For 6 months to 2 years?
8
7. Have you taken Prednisone, Decadron, or other cortisone type drugs?
For more than 2 weeks?
15
For 6 months to 2 years?
6
8. Does exposure to perfumes, Insecticides, fabric shop odors and other chemicals provoke:
Moderate to severe symptoms?
20
Mild symptoms?
5
9. Are your symptoms worse on damp, muggy days or in moldy places?
20
10. Have you had athlete's foot, ring worm, "Jock Itch" or other chronic fungous Infections of the skin or nails?
Have such Infections been:
Severe or persistent?
20
Mild to moderate?
5
11. Do you crave sugar?
10
12. Do you crave breads?
10
13. Do you crave alcoholic beverages?
10
14. Does tobacco smoke"really" bother you?
10
TOTAL SCORE, SECTION A: _______ points
SECTION 'B: MAJOR SYMPTOMS
For each of your symptoms, enter the appropriate figure in the point Score Column
Add total score and record it In the box at the end of this section
QUESTIONS
OCCASIONAL
MILD
SCORE 3
FREQUENT
NOT TOO SEVERE
SCORE 6
SEVERE
DISABLING
SCORE 9
1. Fatigue or lethargy
2. Feeling or being "drained"
3. Poor memory
4. Feeling "spacey" or "unreal"
5. Depression
6. Numbness, burning or tingling
7. Muscle aches
8. Muscle weakness or paralysis
9. Pain and/or swelling in joints
10. Abdominal pain
11. Constipation
12. Diarrhea
13. BloatIng
14. Troublesome vaginal discharge
15. Persistent vaginal burning
16. Prostatitis
17. Impotence
18. Loss or sexual desire
19. Endometriosis
20. Cramps and/or other menstrual lirregularities
21. Premenstrual tension
22. Spots In ftront of the eyes
23. Erratic vision
TOTAL SCORE SECTION B: _____ points
SECTION C: OTHER SYMPTOMS
For each of your symptoms, enter the appropriate figure in the point Score Columns
Add total score and record it In the box at the end of this section
QUESTIONS
OCCASIONAL
MILD
SCORE 1
FREQUENT
NOT TOO SEVERE
SCORE 2
SEVERE
DISABLING
SCORE 3
1. Drowsiness
2. Irritability or jitteriness
3. Incoordination
4. Inability to concentrate
5. Frequent mood swings
6. Headache
7. Dizziness/loss of balance
8. Pressure above ears ...feeling of head swelling and tingling
9. Itching
10. Other rashes
11. Heartburn
12. Indigestion
13. Belching and Intestinal gas
14. Mucus In stools
15. Hemorrhoids
16. Dry mouth
17. Rash or blisters In mouth
18. Bad breath
19. Joint swelling orarthritis
20. Nasal congestion or discharge
21. Postnasal drip
22. Nasal Itching
23. Sore or dry throat
24. Cough
25. Pain or tightness In chest
26. Wheezing or shortness or breach
27. Urgency or urinary frequency
28. Burning on urination
29. Failing vision
30. Burning or tearing of eyes
31. Recurrent Infections or fluid In ears
32. Ear Pain or deafness
TOTAL SCORE, SECTION C ____ points TOTAL SCORE, SECTION B ____ points TOTAL SCORE, SECTION A ____ points
GRAND TOTAL SCORE:_____ points
The Grand Total Score wIll help you and your physician decide If your health problems are yeast-connected.
Scores In women will run as high as 7 times In the questionnaire and 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.
It seems that I have most symptoms associated with yeast/Candida, what do I do next? Read this page - you will find in it instructions to get rid of parasites FIRST and THEN of Candida.
Disclaimer:
We do not directly dispense medical advice or prescribe the use of herbs or supplements as a form of treatment for illness. The information found on this Web Site is for educational purposes only to empower people with knowledge to take care of their own health. We disclaim any liability if the reader uses or prescribes any remedies, natural or otherwise, for him/herself or another. Please consult a licensed health professional should a need be indicated.
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