HEALTH GUARDIANS

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 C: Other Symptoms	Point Score
1. Drowsiness
2. Irritability or jitteryness
3. Incoordination
4. Inability to concentrate
5.Frequent mood swings
6. Headaches
7. Dizziness/loss of balance
8. Pressure above ears...feeling of head swelling
9. Tendency to bruise easily
10. Chronic rashes or itching
11. Psoriasis or recurrent hives
12. Indigestion or heartburn
13. Food sensitivity or intolerance
14. Mucus in stools
15. Rectal itching
16. Dry mouth or throat
17. Rash or blisters in mouth
18. Bad breath
19. Foot, hair or body odor not relieved by washing
20. Nasal congestion or post nasal drip
21. Nasal itching
22. Sore throat
23. Laryngitis, loss of voice
24 Cough or recurrent bronchitis
25. Pain or tightness in chest
26 Wheezing or shortness of breath
27. urinary frequency, urgency or incontinence
28. Burning on urination
29. Recurrent infections or fluid in ears
30. Ear pain or deafness
Total Score, Section A
Total Score, Section B
Total Score, Section C
GRAND TOTAL SCORE (add totals from A, B, and C)

(Scores for women will run higher as 7 of the contained items apply to women only.)
........................................................Yeast connected health problems are almost
Certainly present with Female scores over 180............./ Male scores over 140
Probably present - .....Female scores over 120............/ Male scores over ...90
Possibly present- .......Female scores over ..60............/ Male scores over ...40
less than likely a cause. Female scores under 60......./ Male scores under 40

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