Candida Self-Test

Candida Test

Candida Questionnaire

Are yeasts contributing to your health problems?

Find Out.

This questionnaire is designed for adults and the scoring system isn't appropriate for children. 

This questionnaire lists factors in your medical history which promote the growth of the common yeast, Candida Albicans (Section A), and symptoms commonly found in individuals with yeast-connected illness (Sections B and C).

Filling out this questionnaire should help evaluate the possible role of yeasts in contributing to your health problems. Yet it will not provide an automatic "Yes" or "No" answer.

Use the tab key to move from box to box.

SECTION A: HISTORY

  1. Have you taken tetracyclines (Sumycin®, Panmycin®, Vibramycin®, Minocen®, etc.) or other antibiotics for acne for 1 month (or longer)?

Enter 35 for Yes, 0 for No

  1. Have you, at any time in your life, taken other "broad spectrum" antibiotics* for respiratory, urinary or other infections (for 2 months or longer, or in shorter courses 4 or more times in a 1-year period)?

Enter 35 for Yes, 0 for No

*Including Keflex®, ampicillin, amoxicillin, Ceclor®, Bactrim®, and Septra®. Such antibiotics kill off the "good germs" while they're killing off those which cause infection.

  1. Have you taken a broad spectrum antibiotic drug* - even a single course?

Enter 6 for Yes, 0 for No

  1. Have you, at any time in your life, been bothered by persistent prostatis, vaginitis or other problems affecting your reproductive organs?

Enter 25 for Yes, 0 for No

  1. Have you been pregnant...         (enter only 1 answer)

2 or more times?   Enter 5 for Yes, 0 for No

1 time?  Enter 3 for Yes, 0 for No

  1. Have you taken birth control pills...    (enter only 1 answer)

For more than 2 years?  Enter 15 for Yes, 0 for No

For 6 months to 2 years?  Enter   8 for Yes, 0 for No

  1. Have you taken prednisone, Decadron® or other cortisone-type drugs...  

(enter only 1 answer)

For more than 2 weeks?  Enter 15 for Yes, 0 for No

For 2 weeks or less?  Enter   6 for Yes, 0 for No

  1. Does exposure to perfumes, insecticides, fabric shop odors or other chemicals provoke...                 (enter only 1 answer)

Moderate to severe symptoms?  Enter 20 for Yes, 0 for No

Mild symptoms?  Enter   5 for Yes, 0 for No

  1. Are your symptoms worse on damp, muggy days or in moldy places?

Enter 20 for Yes, 0 for No

  1. Have you had athlete's foot, ring worm, "jock itch" or other chronic fungous infections of the skin or nails? Have such infections been...   (enter only 1 answer)

Severe or persistent?  Enter 20 for Yes, 0 for No

Mild to moderate?  Enter 10 for Yes, 0 for No

  1. Do you crave sugar?

Enter 10 for Yes, 0 for No

  1. Do you crave breads?

Enter 10 for Yes, 0 for No

  1. Do you crave alcoholic beverages?

Enter 10 for Yes, 0 for No

  1. Does tobacco smoke really bother you?

Enter 10 for Yes, 0 for No

Total Score, Section A
Section B: Major Symptoms

For each symptoms which is present, enter the appropriate figure in the the box:

0 = If a symptom does not apply to you.

3 = If a symptom is occasional or mild.
6 = If a symptom is frequent and/or moderately severe.

9 = If a symptom is severe and/or disabling.

Fatigue or lethargy

Feeling of being "drained"

Poor memory

Feeling "spacey" or "unreal"

Inability to make decisions

Numbness, burning or tingling

Insomnia

Muscle aches

Muscle weakness or paralysis

Pain and/or swelling in joints

Abdominal pain

Constipation

Diarrhea

Bloating, belching or intestinal gas

Troublesome vaginal burning, itching or discharge

Prostatitis

Impotence

Loss of sexual desire or feeling

Endometriosis or infertility

Cramps and/or other menstrual irregularities

Premenstrual tension

Attacks of anxiety or crying

Cold hands or feet and/or chilliness

Shaking or irritable when hungry

Total Score, Section B
Section C: Other Symptoms*

*While symptoms in this section occur commonly in patients with yeast-connected illness, they also occur commonly in patients who do not have candida.

For each symptoms which is present, enter the appropriate figure in the the box:

1 = If a symptom is occasional or mild.
2 = If a symptom is frequent and/or moderately severe.

3 = If a symptom is severe and/or disabling.

Drowsiness

Irritability or jitteriness

Incoordination

Inability to concentrate

Frequent mood swings

Headache

Dizziness/loss of balance

Pressure above ears...feeling of head swelling

Tendency to bruise easily

Chronic rashes or itching

Psoriasis or recurrent hives

Indigestion or heartburn

Food sensitivity or intolerance

Mucus in stools

Rectal itching

Dry mouth or throat

Rash or blister in mouth

Bad breath

Foot, hair or body odor not relieved by washing

Nasal congestion or post nasal drip

Nasal itching

Sore throat

Laryngitis, loss of voice
Cough or recurrent bronchitis
Pain or tightness in chest
Wheezing or shortness of breath
Urinary frequency, urgency, or incontinence
Burning on urination
Spots in front of eyes or erratic vision
Burning or tearing of eyes
Recurrent infections or fluid in ears
Ear pain or deafness

 

(click tab to get to checkmark by the Grand Total for complete calculation.)

 

Total Score, Section C

 

GRAND TOTAL
 
 

Understanding the significance of this screening test:

The Grand Total will help decide if your health problems are yeast-connected. Scores in women will run higher as 7 items in the questionnaire apply exclusively to women, while only 2 apply exclusively to men.

Yeast-connected health problems are almost certainly present in women with scores over 180, and in men with scores over 140.

Yeast-connected health problems are probably present in women with scores over 120, and in men with scores over 90.

Yeast-connected health problems are possibly present in women with scores over 60, and in men with scores over 40.

With scores of less than 60 in women and 40 in men, yeasts are less apt to cause health problems.