Candida(Yeast) Self-Test

Candida(Yeast) Self-Test
Date

MonthDayYear
DateHourMinutesAM/PM Option
Section A - History
Have you taken tetracycline (Sumycin, Panmycin, Vibramycin, Minocin, etc.) or other antibiotics for acne for one month or longer? (50 POINTS)*

YESNO
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 for shorter periods, 4 or more times in a 1 year spectrum? (50 POINTS)*

YESNO
Have you taken a broad spectrum antibiotic drug - even for 1 period? (6 POINTS)*

YESNO
Have you at any time in your life, been bothered by persistent prostatitis, vaginitis, or other problems affecting your reproductive organs? (25 POINTS)*

YESNO
Have you been pregnant . . .

2 or more times? (5 points)1 time? (3 pts)
Have you taken birth control pills for . . .

more than 2 years? (15 pts)6 months to 2 years? (6 pts)
Have you taken prednisone, Decadron, or other cortisone-type drugs by mouth or inhalation . . .

for more than 2 weeks? (15 pts)for 2 weeks or less? (6 pts)
Does exposure to perfumes, insecticides, fabric shop odors, or other chemicals provoke . . .

moderate to severe symptoms? (20 pts)mild symptoms? (5 pts)
Are your symptoms worse on damp, muggy days or in moldy places? (20 pts)

YES
If you have ever had athlete's foot, ringworm, jock itch or other chronic fungus infections of the skin or nails, have such infections been . . .

severe or persistent? (20 pts)mild or moderate? (10 pts)
Do you crave sugar? (10 pts)

YES
Do you crave breads? (10 pts)

YES
Do you crave alcoholic beverages? (10 pts)

YES
Does tobacco smoke really bother you? (10 pts)

YES
TOTAL SCORE FOR SECTION A:
Section B - Major Symptoms

For each symptom that is present, check the appropriate sympton level in each statement:

—If a symptom is occasional or mild score (3 points)
—If a symptom is frequent or moderately severe score (6 points)
—If a symptom is severe and/or disabling score (9 points)
Total the scores for this section and record them in the box at the bottom of this section.
1. Fatigue or lethargy

occasional or mildfrequent or moderately severesevere and/or disabling
2. Feeling of being “drained”

occasional or mildfrequent or moderately severesevere and/or disabling
3. Poor memory

occasional or mildfrequent or moderately severesevere and/or disabling
4. Feeling “spacey” or “unreal”

occasional or mildfrequent or moderately severesevere and/or disabling
5. Inability to make decisions

occasional or mildfrequent or moderately severesevere and/or disabling
6. Numbness, burning or tingling

occasional or mildfrequent or moderately severesevere and/or disabling
7. Insomnia

occasional or mildfrequent or moderately severesevere and/or disabling
8. Muscle aches

occasional or mildfrequent or moderately severesevere and/or disabling
9. Muscle weakness or paralysis

occasional or mildfrequent or moderately severesevere and/or disabling
10. Pain and/or swelling in joints

occasional or mildfrequent or moderately severesevere and/or disabling
11. Abdominal pain

occasional or mildfrequent or moderately severesevere and/or disabling
12. Constipation

occasional or mildfrequent or moderately severesevere and/or disabling
13. Diarrhea

occasional or mildfrequent or moderately severesevere and/or disabling
14. Bloating, belching or intestinal gas

occasional or mildfrequent or moderately severesevere and/or disabling
15. Troublesome vaginal burning, itching or discharge

occasional or mildfrequent or moderately severesevere and/or disabling
16. Prostatitis

occasional or mildfrequent or moderately severesevere and/or disabling
17. Impotence

occasional or mildfrequent or moderately severesevere and/or disabling
18. Loss of sexual desire or feeling

occasional or mildfrequent or moderately severesevere and/or disabling
19. Endometriosis or infertility

occasional or mildfrequent or moderately severesevere and/or disabling
20. Cramps and/or other menstrual irregularities

occasional or mildfrequent or moderately severesevere and/or disabling
21. Premenstrual tension

occasional or mildfrequent or moderately severesevere and/or disabling
22. Attacks of anxiety or crying

occasional or mildfrequent or moderately severesevere and/or disabling
23. Cold hands or feet and/or chilliness

occasional or mildfrequent or moderately severesevere and/or disabling
24. Shaking or irritability when hungry

occasional or mildfrequent or moderately severesevere and/or disabling
TOTAL SCORE FOR SECTION B:
Section C - Minor Symptoms

For each symptom that is present, check the appropriate sympton level for each statement:

—If a symptom is occasional or mild score (3 points)
—If a symptom is frequent or moderately severe score (6 points)
—If a symptom is severe and/or disabling score (9 points)
Total the scores for this section and record them in the box at the bottom of this section.
1. Drowsiness

occasional or mildfrequent or moderately severesevere and/or disabling
2. Irritability or jitteriness

occasional or mildfrequent or moderately severesevere and/or disabling
3. Incoordination

occasional or mildfrequent or moderately severesevere and/or disabling
4. Inability to concentrate

occasional or mildfrequent or moderately severesevere and/or disabling
5. Frequent mood swings

occasional or mildfrequent or moderately severesevere and/or disabling
6. Headaches

occasional or mildfrequent or moderately severesevere and/or disabling
7. Dizziness/ loss or balance

occasional or mildfrequent or moderately severesevere and/or disabling
8. Pressure above ears. Feeling of head swelling

occasional or mildfrequent or moderately severesevere and/or disabling
9. Tendency to bruise easily

occasional or mildfrequent or moderately severesevere and/or disabling
10. Chronic rashes or itching

occasional or mildfrequent or moderately severesevere and/or disabling
11. Psoriasis or recurrent hives

occasional or mildfrequent or moderately severesevere and/or disabling
12. Indigestion or heartburn

occasional or mildfrequent or moderately severesevere and/or disabling
13. Food sensitivity or intolerance

occasional or mildfrequent or moderately severesevere and/or disabling
14. Mucus in stools

occasional or mildfrequent or moderately severesevere and/or disabling
15. Rectal itching

occasional or mildfrequent or moderately severesevere and/or disabling
16. Dry mouth or throat

occasional or mildfrequent or moderately severesevere and/or disabling
17. Rashes or blisters on mouth

occasional or mildfrequent or moderately severesevere and/or disabling
18. Bad breath

occasional or mildfrequent or moderately severesevere and/or disabling
19. Foot , hair, or body odor not relieved by washing

occasional or mildfrequent or moderately severesevere and/or disabling
20. Nasal congestion or post-nasal drip

occasional or mildfrequent or moderately severesevere and/or disabling
21. Nasal itching

occasional or mildfrequent or moderately severesevere and/or disabling
22. Sore throat

occasional or mildfrequent or moderately severesevere and/or disabling
23. Laryngitis, loss of voice

occasional or mildfrequent or moderately severesevere and/or disabling
24. Cough or recurrent bronchitis

occasional or mildfrequent or moderately severesevere and/or disabling
25. Pain or tightness in chest

occasional or mildfrequent or moderately severesevere and/or disabling
26. Wheezing or shortness of breath

occasional or mildfrequent or moderately severesevere and/or disabling
27. Urinary frequency, urgency or incontinence

occasional or mildfrequent or moderately severesevere and/or disabling
28. Burning on urination

occasional or mildfrequent or moderately severesevere and/or disabling
29. Spots in front of eyes or erratic vision

occasional or mildfrequent or moderately severesevere and/or disabling
30. Burning or tearing of eyes

occasional or mildfrequent or moderately severesevere and/or disabling
31. Recurrent infections or fluid in ears

occasional or mildfrequent or moderately severesevere and/or disabling
32. Ear pain or deafness

occasional or mildfrequent or moderately severesevere and/or disabling
TOTAL SCORE FOR SECTION C:
CANDIDA TEST RESULTS
Total Score for Section A:
Total Score for Section B:
Total Score for Section C:
GRAND Total Score for Sections A+ B+C:

IF YOUR GRAND SCORE IS: YOUR SYMPTOMS ARE:	YOUR SYMPTOMS ARE:
180 (women) 140 (men)	Almost certainly yeast connected
120 (women) 90 (men)	Probably yeast connected
60 (women) 40 (men)	Possibly yeast connected
below 60 (women) below 40 (men)	Probably not yeast connected

The total score will help you and your health pratitioner decide if your health problems are yeast-connected. A comprehensive history and physical examination are also important. In addition, laboratory studies, x-rays, and other types of tests may also be appropriate.

If your total score for all three sections above was below 60 for a women and below 40 for a man, then you are less likely to have a problem with candida. However, if you scored higher than this then you may wish to consider lifestyle and dietary changes, was well as a detoxification and cleansing program. All of which may help you fell healthy and more energetic.

Should you need further assisstance in resolving a Candida/Yeast related condition, please share your contact information below and remember to click to SUBMIT BUTTON.

Be sure to review my Candida testimony !
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