History Point Score
- Have you taken tetracycline or other antibiotics for acne for one month or longer?
- 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 short courses four or more times in a one-year period?
- Have you ever taken a broad-spectrum antibiotic (even a single course)?
- Have you at anytime in your life been bothered by persistent prostatitis, vaginitis, or other problems affecting your reproductive organs?
- Have you been pregnant one time? 3 Two or more times?
- Have you ever taken birth control pills for six months to two years? For more than two years?
- Have you taken prednisone or other cortisone type drugs for two weeks or less? 6 For more than two weeks?
- Does exposure to perfumes, insecticides, fabric shop odors, and other chemicals provoke mild symptoms? Provoke moderate to severe symptoms?
- Are your symptoms worse on damp, muggy days or moldy places? 20
- Have you had athlete’s foot, ringworm, “jock itch,” or other chronic infections of the skin or nails? Mild to moderate? 10 Severe or persistent?
- Do you crave sugar?
- Do you crave breads?
- Do you crave alcoholic beverages?
- Does tobacco smoke really bother you?
ADD UP YOUR TOTAL SCORE FOR THIS SECTION __________
Major Symptoms Point Score
For each of your symptoms below, enter the appropriate figure in the Point Score Column.
If symptom is occasional or mild score 3 points
If symptom is frequent and/or moderately severe score 6 points
If a symptom is severe and/or disabling score 9 points
- Fatigue or lethargy
- Feeling of being drained
- Poor memory
- Feeling “spacey” or “unreal”
- Depression
- Numbness, burning, or tingling
- Muscle aches
- Muscle weakness or paralysis
- Pain and/or swelling in joints
- Abdominal pain
- Constipation
- Diarrhea
- Bloating
- Persistent vaginal itch
- Persistent vaginal burning
- Prostatitis
- Impotence
- Loss of sexual desire
- Endometriosis
- Cramping and other menstrual irregularities
- Premenstrual tension
- Spots in front of eyes
- Erratic vision
TOTAL SCORE FOR THIS SECTION __________
Other Symptoms
For each of the symptoms below, enter the appropriate figure in the point Score Column.
If symptom is occasional or mild score 1 point
If symptom is frequent and/or moderately severe score 2 points
If a symptom is severe and/or disabling score 3 points
- Drowsiness
- Irritability
- Lack of coordination
- Inability to concentrate
- Frequent mood swings
- Headache
- Dizziness/loss of balance
- Pressure above ears, feeling of head swelling and tingling
- Itching
- Other rashes
- Heartburn
- Indigestion
- Belching and intestinal gas
- Mucus in stools
- Hemorrhoids
- Dry mouth
- Rash or blisters in mouth
- Bad breath
- Joint swelling or arthritis
- Nasal congestion or discharge
- Postnasal drip
- Nasal itching
- Sore or dry throat
- Cough
- Pain or tightness in chest
- Wheezing or shortness of breath
- Urinary urgency or frequency
- Burning on urination
- Failing vision
- Burning or tearing of eyes
- Recurrent infections or fluid in ears
- Ear pain or deafness
TOTAL SCORE FOR THIS SECTION ______________
NOW ADD UP YOUR SCORES
Total Score from section one ______________
Total score from section two ______________
Total score for section three ______________
TOTAL ALL SECTIONS ______________
Women Men
Yeast- connected health problems are almost certainly present >180 >140
Yeast-connected health problems are probably present 120-180 90-140
Yeast-connected health problems are possibly present 60-119 40-89
Yeast-connected health problems are less likely to be present <60 <40
This questionnaire is adapted from W. G. Crook The Yeast Connection.
Although the Candida Questionnaire can help determine your condition, ultimately the best method for diagnosing candidiasis is clinical evaluation by a physician knowledgeable about yeast-related illness.
If your score indicates you have a yeast overgrowth, I highly recommend the yeast control products: Yeast Max, YeastZyme Max, and Ultimate FloraMax Advanced Care 100 Billion