Candida Questionnaire

This questionnaire lists factors in your medical history that promote the growth of the common yeast—Candida albicans—and symptoms commonly found in individuals with yeast-connect illness

For children, there is a different questionnaire. (For instance, a child does not have to have taken any antibiotics to have yeast problems.)

Filling out and scoring this questionnaire should help you and your physician evaluate how Candida albicans may be contributing to your health problems.

However, it will not provide an automatic yes or no answer. A comprehensive history and physical examination are important. In addition, laboratory studies, x-rays, and other types of tests may also be appropriate.

Section A - History
Please check each box that applies and tally your score at the end.
*Please add numbers from Section A
Section B - Major Symptoms
**The use of nasal or bronchial sprays containing cortisone and/or other steroids promotes overgrwoth in the respiratory tract.
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
*Please add numbers from Section B
Section C - Other Symptoms
While the symptoms in this section occur commonly in patients with yeast-connected illness, they also occur commonly in patients who do not have Candida.
Drowsiness
Irritability or jitteriness
Incoordination
Inability to concentrate
Frequent mood swings
Headaches
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 blisters 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 during urination
Spots in front of eyes or erratic vision
Burning or tearing of eyes
Recurrent infections or fluid in ears
Ear pain or deafness
*Please add number from Section C
*Please add total scores from Sections A, B, and C
Name
Name

Your final score will help you and your physician determine if your health problems may be related to yeast.

Scores for women will run higher because 7 questions applied exclusively to women, while only 2 apply exclusively to men. 

From William G. Crook, M.D., “The Yeast Connection Handbook.” Professional Books. Jackson, TN 1997-2000. Reprinted with permission.

From William G. Crook, M.D., “The Yeast Connection Handbook.” Professional Books. Jackson, TN 1997-2000. Reprinted with permission.

If your score is above normal, it is important to talk to a physician about ways to repair your 'leaky gut' and prevent yeast from destroying your health. 

Many of my patients have tried pharmaceuticals, diets, and supplements but still say, "I feel bloated, I have no energy, and still seem to gain weight."

A physician may prescribe you a pill, but unfortunately there is no pill in existence that will fix your health

Instead of prescribing a quick fix, my custom care plans are built around improving your health at a cellular level–starting with your inner gut terrain.

You must be willing to make a lifestyle change if you want to see and feel results.