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We suggest printing out this page - scores need to be recorded and added together.Section A: HistoryHave you taken tetracyclines or other antibiotics for acne for one month or longer? 35
For two weeks or less? 6 Does exposure to perfumes, insecticides, fabric shop odours and other chemicals provoke moderate to severe symptoms? 20 Have you, at any time in your life, taken other “broad-spectrum” antibiotics for respiratory, urinary or other infections (for two months or longer, or in shorter courses four or more times in a one-year period? 35 Have you taken a broad-spectrum antibiotic drug – even a single course? 6Have you, at any time in your life, been bothered by persistent prostatitis, vaginitis or other problems affecting your reproductive organs? 25 Have you been pregnant two or more times? 5 One time? 3 Have you taken birth control pills for more than two years? 15 For six months to two years? 8 Have you taken prednisone or other cortisone-type drugs for more than two weeks? 15 For two weeks or less? 6 Does exposure to perfumes, insecticides, fabric shop odours and other chemicals provoke moderate to severe symptoms? 20
Mild symptoms? 5
Are your symptoms worse on damp, muggy days or in mouldy places? 20
Have you had athlete’s foot, ringworm or other fungus infections of the skin or nails? If so, have such infections been severe or persistent? 20
Mild to moderate? 10
Do you crave sugar? 10
Do you crave breads? 10
Do you crave alcoholic beverages? 10 Does tobacco smoke really bother you? 10 Total score section A:Section B: Major SymptomsFor each of your symptoms, note down the appropriate figure: If a symptom is occasional or mild – 3 If a symptom is frequent and/or moderately severe – 6 If a symptom is severe and/or disabling – 9 Add up your total score and record it at the bottom of this section.
Fatigue or lethargy Feeling of being “drained” Depression Poor memory Feeling “spacey” or “unreal” Inability to make decisions Numbness, burning or tingling Headache Muscle aches Muscle weakness or paralysis Pain and/or swelling in joints Abdominal pain Constipation and/or diarrhoea 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 and/or crying Cold hands and feet and/or chilliness Shaking or irritability when hungry
Total score section B:Section C: Other SymptomsFor each of your symptoms, note down the appropriate figure: If a symptom is occasional and/or mild – 1 If a symptom is frequent and/or moderately severe – 2 If a symptom is severe and/or disabling – 3 Add up your total score and record it at the bottom of this section.
Drowsiness Irritability or jitteriness Lack of coordination Inability to concentrate Frequent mood swings Insomnia Dizziness/loss of balance Pressure above ears/ feeling of head swelling Tendency to bruise easily Chronic rashes or itching Numbness and/or tingling Indigestion or heartburn Food sensitivity or intolerance Mucus in stools Rectal itching Dry mouth or throat Rash or blisters in mouth Bad breath Foot, hair or body odour 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 or urgency Burning on urination Spots in front of eyes or erratic vision Burning or tearing of eyes Recurrent infections or fluid in the ears Ear pain or deafness
Total score section C:
Grand total: The grand total will help decide whether your health problems are yeast-connected. (Scores in women will run higher, as five questions in the questionnaire apply exclusively to women, while only two apply exclusively to men.) Assessing Your ScoreThe final part of this questionnaire will give you an idea of the likelihood of candidiasis based on your final score1. Over 180 (women)/140 (men): Yeast-connected health problems are almost certainly present. Over 120 (women)/90 (men): Yeast-connected health problems are probably present. Less than 60 (women)/40 (men): Yeasts are probably not causing your health problems. 1From William G. Crook M.D, The Yeast Connection (Jackson, TN: Professional Books, New York: Vintage Books, 3rd edition, 1986) and The Yeast Connection and the Woman (Jackson, TN: Professional Books, 1995) |
