Would you like to know if your health problems are related to Candida? This online test developed by Dr. William Crook, author of "The Yeast Connection Handbook," can help you determine if yeast is a part of your chronic health issues. To take the “Yeast Questionnaire for Children” click here!
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| History | Point Score | |||
1. |
Have you ever taken tetracycline or other antibiotics for acne for one month or longer? | 25 | ||
2. |
Have you ever taken other "broad-spectrum" antibiotics for respiratory, urinary, or other infections for two months or longer, or in short courses four or more times in one year? | 20 | ||
3. |
Have you ever taken a "broad-spectrum" antibiotic (even a single course)? | 6 | ||
4. |
Have you ever been bothered by persistent prostatitis, vaginitis or other problems affecting your reproductive organs? | 25 | ||
5. |
Have you been pregnant... | |||
| One time? | 3 | |||
| Two or more times? | 5 | |||
6. |
Have you taken birth control pills... | |||
| For six months to two years? | 8 | |||
| For more than two years? | 15 | |||
7. |
Have you taken prednisone or other cortisone type drugs... | |||
| For two weeks or less? | 6 | |||
| For more than two weeks? | 15 | |||
8. |
Does exposure to perfumes, insecticides, fabric shop odors, and other chemicals provoke... | |||
| Mild symptoms? | 5 | |||
| Moderate to severe symptoms? | 20 | |||
9. |
Are your symptoms worse on damp, muggy days or in moldy places? | 20 | ||
10. |
Have you had athlete's foot, ringworm, "jock itch," or other chronic infections of the skin or nails? | |||
| Mild to moderate? | 10 | |||
| Severe to persistent? | 20 | |||
11. |
Do you crave sugar? | 10 | ||
12. |
Do you crave breads? | 10 | ||
13. |
Do you crave alcoholic beverages? | 10 | ||
14. |
Does tobacco smoke really bother you? | 10 | ||
| Total Score For This Section | _______ |
|||
| Major Symptoms | ||||
| For each of your symptoms, enter the appopriate figure in the Point Score column. | ||||
| If symptom is occasional or mild | score 3 points | |||
| If symptom is frequent and/or moderately severe | score 6 points | |||
| If symptom is severe and/or disabling | score 9 points | |||
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. |
Muscle aches | _______ |
||
8. |
Muscle weakness or paralysis | _______ |
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9. |
Pain and/or swelling in joints | _______ |
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10. |
Abdominal pain | _______ |
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11. |
Constipation | _______ |
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12. |
Diarrhea | _______ |
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13. |
Bloating | _______ |
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14. |
Persistent vaginal itch | _______ |
||
15. |
Persistent vaginal burning | _______ |
||
16. |
Prostatitis | _______ |
||
17. |
Impotence | _______ |
||
18. |
Loss of sexual desire | _______ |
||
19. |
Endometriosis | _______ |
||
20. |
Cramping and other menstrual irregularities | _______ |
||
21. |
Premenstrual tension | _______ |
||
22. |
Spots in front of eyes | _______ |
||
23. |
Erratic vision | _______ |
||
| Total Score For This Section | _______ |
|||
| Other Symptoms | ||||
| For each of your symptoms, enter the appopriate figure in the Point Score column. | ||||
| If symptom is occasional or mild | score 1 points | |||
| If symptom is frequent and/or moderately severe | score 2 points | |||
| If symptom is severe and/or disabling | score 3 points | |||
1. |
Drowsiness | _______ |
||
2. |
Irritability | _______ |
||
3. |
Lack of coordination | _______ |
||
4. |
Inability to concentrate | _______ |
||
5. |
Frequent mood swings | _______ |
||
6. |
Headache | _______ |
||
7. |
Dizziness/loss of balance | _______ |
||
8. |
Pressure above ears, feeling of head swelling and tingling | _______ |
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9. |
Itching | _______ |
||
10. |
Other rashes | _______ |
||
11. |
Heartburn | _______ |
||
12. |
Indigestion | _______ |
||
13. |
Belching and intestinal gas | _______ |
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14. |
Mucus in stool | _______ |
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15. |
Hemorrhoids | _______ |
||
16. |
Dry mouth | _______ |
||
17. |
Rash or blisters in mouth | _______ |
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18. |
Bad breath | _______ |
||
19. |
Joint swelling or arthritis | _______ |
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20. |
Nasal congestion or discharge | _______ |
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21. |
Postnasal drip | _______ |
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22. |
Nasal itching | _______ |
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23. |
Sore or dry throat | _______ |
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24. |
Cough | _______ |
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25. |
Pain or tightness in chest | _______ |
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26. |
Wheezing or shortness of breath | _______ |
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27. |
Urinary urgency or frequency | _______ |
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28. |
Burning on urination | _______ |
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29. |
Failing vision | _______ |
||
30. |
Burning or tearing of eyes | _______ |
||
31. |
Recurrent infections or fluid in ears | _______ |
||
32. |
Ear pain of deafness | _______ |
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| Total Score For This Section | _______ |
|||
| Point Score Totals | ||||
| Total from section one | _______ |
|||
| Total from section two | _______ |
|||
| Total from section three | _______ |
|||
| Total All Sections | _______ |
|||
| Results | Women |
Men |
||
| Yeast-connected health problems are almost certainly present | >180 |
>140 |
||
| Yeast-connected health problems are probably present | 120-180 |
90-140 |
||
| Yeast-connected health problems are possibly present | 60-119 |
40-89 |
||
| Yeast-connected health problems are less likely to be present | <60 |
<40 |
||
Although the candida questionaire can help, ultimately the best method for diagnosing candidiasis is clinical evaluation by a physician knowledgeable about yeast-related illness.
*Used with permission 2005. Adapted from Dr. Crook's, The Yeast Connection Handbook
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Take the “Yeast Questionnaire for Children” to find out if your child’s health problems are related to Candida.
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