Candida and Fungal Quiz

Candida and Fungal Quiz

This quiz is designed to help you assess if candida and fungus could be contributing to your symptoms. Once you submit your quiz responses, you'll receive an email reviewing your results*
Name*

First NameLast Name
Email*
example@example.com
History
Have you ever taken antibiotics for 1 month or longer, or in shorter courses multiple times in a year?*

YesNo
Have you ever taken steroid medications for 2 weeks or longer?*

YesNo
Have you taken birth control?*

YesNo
Did any of your symptoms begin after using antibiotics, steroids or birth control medications?*

YesNo
Do you crave sugars and sweets?*

YesNo
Do you crave bread and starches?*

YesNo
Do you crave alcoholic beverages?*

YesNo
At any point in your life have you had athlete's foot, vaginal yeast infections, oral thrush, armpit rashes, ringworm, “jock itch”, toenail fungus, or other chronic fungus infections of the skin or nails?*

YesNo
Have you ever been bothered by persistent prostatitis, vaginitis or other problems affecting your reproductive organs?*

YesNo
Symptoms
Fatigue or lethargy*

NoneMildModerateSevere
Poor memory*

NoneMildModerateSevere
Brain fog*

NoneMildModerateSevere
Depression*

NoneMildModerateSevere
Anxiety*

NoneMildModerateSevere
Numbness, burning or tingling sensations*

NoneMildModerateSevere
Muscle or joint pain*

NoneMildModerateSevere
Body odor not relieved by washing*

NoneMildModerateSevere
Bloating*

NoneMildModerateSevere
Belching or gas*

NoneMildModerateSevere
Diarrhea*

NoneMildModerateSevere
Nausea*

NoneMildModerateSevere
Rectal itching*

NoneMildModerateSevere
Indigestion*

NoneMildModerateSevere
White tongue coating*

NoneMildModerateSevere
Abdominal pain*

NoneMildModerateSevere
Constipation*

NoneMildModerateSevere
Oral ulcers or blisters*

NoneMildModerateSevere
Bad breath*

NoneMildModerateSevere
Nasal congestion or post-nasal drip*

NoneMildModerateSevere
Sore throat or loss of voice*

NoneMildModerateSevere
Urinary urgency, frequency or bladder pain*

NoneMildModerateSevere
Recurrent yeast infections or recurring: Vaginal burning, itching, discharge*

NoneMildModerateSevere
Total Score*
*This form is for educational purposes only and is not intended to diagnose, treat, or prevent any medical condition. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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Candida and Fungal Quiz

History

Symptoms