• FUNGUS
• YEAST
• CANDIDA
• BACTERIA
• PARASITES

The Ultimate Resource for Fungal and Yeast Infections

key number:
5934

A Questionnaire For Assessing Yeast Related Health Problems

ARE YOUR HEALTH PROBLEMS YEAST RELATED?

Candida Symptom Questionnaire

LONG VERSION (64 QUESTIONS)

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. Follow the instructions of each section. At the end, total up your scores for each section and review it against the key at the end.

Section A: History   Instructions: 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, scoring as directed. 1. Have you taken tetracyclines (Sumycin, Panmycin, Vibramycin, Minocin, etc.) or other antibiotic for acne for 1 month or longer? 50 2. Have you ever taken other broad spectrum* antibiotics for urinary, respiratory or other infections for 2 months or longer, or in shorter courses 4 or more times in a 1 year period?  * Including Keflex, ampicillin, amoxicillin, Ceclor, Bactrim, and Septra. Such antibiotics kill off "good germs" while they are killing off those which cause infection. 50 3. Have you ever taken a "broad spectrum" antibiotic drug – even for one course? 6 4. Have you ever been bothered by persistent prostatitis, vaginitis, or other problems that affect your reproductive organs?  25 5. Have you ever been pregnant:     1 time? 3   2 or more times? 5 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 2 weeks or less? 6   for more than 2 weeks? 15 8. Does exposure to perfumes, insecticides, fabric shop odors or other chemicals provoke:     mild symptoms? 5   moderate to severe symptoms? 20 9. Are 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?     mild to moderate symptoms? 10   moderate to severe symptoms? 20 11. Do you crave sugar? 10 12. Do you crave breads or other foods high in carbohydrates?  10 13. Do you crave alcoholic beverages? 10 14. Does tobacco smoke really bother you? 10   Total Score – Section A

Section B: Major Symptoms   Instructions: For each symptom that is present, enter the appropriate number in the Point Score Column. If a symptom is occasional or mild…………....……score 3 points. If a symptom is frequent and/or moderately severe...score 6 points. If a symptom is severe and/or disabling….……. ..  score 9 points. Total the score for this section and record it in the box at the end of this section. 1. Fatigue or lethargy   2. Feeling of being "drained"   3. Poor memory   4. Feeling "spacey" or "unreal"   5. Depression   6. Numbness, burning or tingling   7. Insomnia   8. Muscle aches   9. Muscle weakness or paralysis   10.  Joint pain or swelling   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 irregularities   21. Premenstrual tension   22. Attacks of anxiety or crying   23. Cold hands or feet and/or chilliness   24. Shaking or irritable when hungry     Total Score – Section B

Section C: Other Symptoms   Instructions: For each symptom that is present, enter the appropriate number in the Point Score Column. If a symptom is occasional or mild…………....……score 3 points. If a symptom is frequent and/or moderately severe...score 6 points. If a symptom is severe and/or disabling….……. ..  score 9 points. Total the score for this section and record it in the box at the end of this section. 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/tingling   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. Hemorrhoids or 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, discharge or post nasal drip   21. Nasal itching   22. Sore or dry throat   23. Laryngitis, loss of voice   24. Cough or recurrent bronchitis   25. Pain or tightness in chest   26. Wheezing or shortness of breath   27. Urgency frequency, urgency or incontinence   28. Burning on urination   29. Spots in front of eyes or erratic vision   30. Burning or tearing of eyes   31. Recurrent infections or fluid in ears   32. Ear pain or deafness     Total Score – Section C

Test Scoring & Results     Total Score – Section A     Total Score – Section B     Total Score – Section C     Grand Total Score (add sections A, B & C)   The Grand Total Score will help you and your health care provider decide if your health problems are yeast-connected. Scores for woman will typically run higher. Yeast-connected health problems are almost certainly present in woman with scores over 180, and in men with scores over 140. Yeast-connected health problems are probably present in woman with scores over 120 and in men with scores over 90. Yeast-connected health problems are possibly present in woman with scores over 60 and in men with scores over 40. With scores less than 60 for woman and 40 for men, yeast are less apt to cause health problems.

FungusFocus objective: Information on symptoms, medical diagnosis, treatment, and cure of fungus infections and yeast infections, especially systemic, chronic, or recurrent fungal infection and yeast infection caused by Candida albicans intestinal yeast overgrowth (Candidiasis). For treatments addressing the symptoms of Candida albicans intestinal yeast infection. In men and women for addressing underlying causes of fungus and yeast-related disorders including oral (mouth) yeast infection (thrush), vaginal yeast infection (vaginitis) and  male yeast infection (jock itch). For treatment and supportive therapy of intestinal disorders commonly associated with Candida albicans yeast overgrowth (Candidiasis) including Irritable Bowel Syndrome (IBS), leaky gut syndrome, intestinal parasite infections (parasites), and intestinal bacterial infections. For symptoms analysis, questionnaires, and diagnoses by lab tests. For antifungal prescription drugs and fungicidal home remedy through natural, homeopathic, herbal, and botanical medicines and supplements.

FungusFocus does not practice medicine. The information herein is intended to help you with greater awareness. If you are ill and need treatment, seek out a qualified healthcare professional. Please see our Legal page for our disclaimer.

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