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 |
(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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