Candida Questionnaire

For each symptom that is present, enter the appropriate number in the column:
If a symptom is occasional or mild.....................................score 3 points.
If a symptom is frequent and /or moderately severe.......score 6 poinits.
If a symptom is severe and/or disabling............................score 9 points.

Section B: Major Symptoms
Point Score
1. Fatigue or lethargy  
2. Feeling of being "drained"  
3. Poor memory  
4.Feeling "spacy" or "unreal"  
5.Inability to make decisions  
6. Numbness, burning or tingling  
7. Insomnia  
8. Muscle aches  
9. Muscle weakness or paralysis  
10.Pain and/or swelling in joints  
11.Abdominal pain  
12.Constipation  
13.Diarrhea  
14.Bloating, belching or intestinal gas  
15.Troublesome vaginal burning, itching or discharge  
16.Prostatitis  
17. Impotence  
18. Loss of sexual desire or feeling  
19. Endometriosis or infertility  
20. Cramps and /or other menstrual irregularitites  
21. Premenstrual tension  
22.Attacks of anxiety or crying  
23. Cold hands or feet and/or chilliness  
24. Shaking or irritalble when hungry  
Total Score, Section B
  

Previous Page - Next Page