Candida Questionnaire - Do I Have Candida?
(55).jpg "Candida Questionnaire - Do I Have Candida?")
The Candida questionnaire is designed for adults. The scoring system takes in consideration factors in your medical history which promote the growth of Candida Albicans. Filling out and scoring this questionnaire should help you and your physician evaluate the possible role of candida in your health issues. This quiz is based upon the work of Dr. William G. Crook, presented in his book The Yeast Connection Handbook. The test is long, and it allows you to stop and resume at any time. You need to enter your name and email address though. You need to enter a valid email address, your name, and a unique ID of your choice.
- 1.Have you taken tetracycline's (or other antibiotics) for 2 months (or longer)?
- A.
Yes
- B.
No
- 2.Have you, at any time in your life, taken "broad spectrum" antibiotics (Including Keflex®, ampicillin, amoxicillin, Ceclor®, Bactrim®, and Septra®*) for respiratory, urinary or other infections (for 2 months or longer, or in shorter courses 4 or more times in a 1-year period?
- A.
Yes
- B.
No
- 3.Have you, at any time in your life, been troubled by persistent vaginal problems or had 3 or more episodes of vaginitis in a year?
- A.
Yes
- B.
No
- 4.Have you been pregnant?
- A.
2 or more times
- B.
1 time
- C.
No
- 5.Have you taken birth control pills
- A.
Yes, for more than 2 years.
- B.
For 6 months to 2 years
- C.
I have never taken birth control pills.
- 6.Have you taken prednisone, Decadron® or other cortisone-type drugs?
- A.
Yes, for more than 2 weeks.
- B.
For 2 weeks or less.
- C.
No.
- 7.Does exposure to perfumes, insecticides, fabric shop odors and other chemicals provoke...
- A.
Moderate to severe symptoms?
- B.
Mild symptoms?
- C.
No symptoms.
- 8.Are your symptoms worse on damp, muggy days or in moldy places?
- A.
Yes.
- B.
No.
- 9.Have you had persistent athlete's foot, "jock itch", or other chronic fungous infections of the skin or nails?
- A.
Yes, such infections have been severe or persistent.
- B.
Yes, the infections have been mild to moderate.
- C.
No
- 10.Do you crave bread?
- A.
Yes.
- B.
No.
- 11.Do you crave alcoholic beverages?
- A.
Yes
- B.
No
- 12.Do you crave sugar?
- A.
Yes I crave sugar.
- B.
No, I don't
- 13.Does tobacco smoke bother you?
- A.
Yes
- B.
No
- 14.The following section lists major symptoms associated with candida overgrowth.For each symptom listed choose the appropriate severity from no symptoms, to severe, or disabling symptoms.
- 15.Feeling of being "drained"
- A.
Severe, or disabling symptoms.
- B.
Moderate symptoms
- C.
Mild symptoms.
- D.
No symptoms
- 16.Fatigue or lethargy
- A.
Severe, or disabling symptoms.
- B.
Moderate symptoms
- C.
Mild symptoms.
- D.
No symptoms
- 17.Numbness, burning or tingling
- A.
Severe, or disabling symptoms.
- B.
Moderate symptoms
- C.
Mild symptoms.
- D.
No symptoms
- 18.Poor memory
- A.
Severe, or disabling symptoms.
- B.
Moderate symptoms
- C.
Mild symptoms.
- D.
No symptoms
- 19.Muscle aches
- A.
Severe, or disabling symptoms.
- B.
Moderate symptoms
- C.
Mild symptoms.
- D.
No symptoms
- 20.Depression
- A.
Severe, or disabling symptoms.
- B.
Moderate symptoms
- C.
Mild symptoms.
- D.
No symptoms
- 21.Abdominal pain
- A.
Severe, or disabling symptoms.
- B.
Moderate symptoms
- C.
Mild symptoms.
- D.
No symptoms
- 22.Bloating
- A.
Severe, or disabling symptoms.
- B.
Moderate symptoms
- C.
Mild symptoms.
- D.
No symptoms
- 23.Muscle weakness or paralysis
- A.
Severe, or disabling symptoms.
- B.
Moderate symptoms
- C.
Mild symptoms.
- D.
No symptoms
- 24.Pain and/or swelling in joints
- A.
Severe, or disabling symptoms.
- B.
Moderate symptoms
- C.
Mild symptoms.
- D.
No symptoms
- 25.Diarrhea
- A.
Severe, or disabling symptoms.
- B.
Moderate symptoms
- C.
Mild symptoms.
- D.
No symptoms
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