Candida Short Questionnaire
A Questionnaire For Assessing Yeast Related Health Problems
ARE YOUR HEALTH PROBLEMS YEAST RELATED?
Candida Symptom Questionnaire
SHORT VERSION
This questionnaire lists factors in your medical history that promote the growth of the common yeast, Candida Albicans and symptoms commonly found in individuals with yeast-connected illnesses.
For your ease in taking this self-scoring questionnaire, first hit your browser's print key, making a hard copy of this survey. Your score will help you determine the possibility (or probability) that your health problems are yeast connected.
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If your answer is yes to any question, check the box in the right hand column. When you've completed the questionnaire, add up the points you've checked.
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YES
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SCORE
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1. Have you taken repeated or prolonged courses of antibacterial drugs?
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4
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2. Have you been bothered by recurrent vaginal, prostate or urinary infections?
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3
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3. Do you feel "sick all over", yet the cause hasn't been found?
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2
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4. Are you bothered by hormone disturbances, including PMS, menstrual irregularities, sexual dysfunction, sugar craving, low body temperature or fatigue?
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2
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5. Are you unusually sensitive to tobacco smoke, perfumes, colognes and other chemical odors?
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2
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6. Are you bothered by memory or concentration problems? Do you sometimes feel "spaced out"?
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2
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7. Have you taken prolonged courses of prednisone or other steroids; or have you taken "the pill" for more than 3 years?
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2
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8. Do some foods disagree with you or trigger your symptoms?
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1
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9. Do you suffer with constipation, diarrhea, bloating or abdominal pain?
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1
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10. Does your skin itch, tingle or burn; or is it unusually dry; or are you bothered by rashes?
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1
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TOTAL
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Scoring for women: If your score is 9 or more, your health problems are probably yeast connected. If your score is 12 or more, your health problems are almost certainly yeast connected.
Scoring for men: If your score is 7 or more, your health problems are probably yeast connected. If your score is 10 or more, your health problems are almost certainly yeast connected.
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