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Common Diseases > CANDIDA ALBICANS QUESTIONNAIRE
This questionnaire is provided as an indicator.
Print and Add up your score to determine the possibility of Candida.
LIST
1.
_____ 1. Have you ever taken antibiotics?
_____ 2. Have you ever taken steroid drugs such as Prednisone or Cortisone?
_____ 3. Have you ever taken contraceptive medication?
_____ 4. Have you been pregnant more than once?
LIST
2. - MAJOR SYMPTOM HISTORY
______ 1. Have you had itching or burning of the Vagina, Cvstitis or Thrush (Female) or "Jock itch"
(Male)?
______ 2. Have you ever had athlete's foot, skin rashes or fungal infections of nails or skin?
______ 3. Are you affected by chemical fumes, perfumes, tobacco smoke etc?
______ 4. Do you crave sugary foods, bread, beer or alcohol and are your
symptoms worse after taking these?
______ 5. Do you suffer from a variety of allergies?
______ 6. Do you suffer from intestinal gas, abdominal gas bloating or discomfort, belching or
wind?
______ 7. Do you suffer from pre-menstrual syndrome (fluid retention, irritability, cramp or
pain)?
______ 8. Do you suffer from depression, fatigue, lethargy! or mood swings?
______ 9. Pire you often irritable, easily angered, anxious or nervous?
______ 10. Do you have trouble thinking clearly, suffer occasional
memory losses or have difficulty concentrating?
______ 11. Are you ever dizzy or light headed?
______ 12. Do you have muscle aches, tingling, numbness or burning or
joints that swell and ache with normal activity?
______ 13. Do you have erratic vision or spots before the eyes?
______ 14. Have you had an unexpected weight gain without a change of diet?
______ 15. Are you bothered by constipation, diarrhoea or alternating constipation and diarrhoea especially
when taking antibiotics?
LIST
3. SECONDARY SYMPTOMS
_____ 1. Do you feel worse on damp days
_____ 2. Do you experience persistent drowsiness?
_____ 3. Do you have a lack of co-ordination or loss of balance
_____ 4. Have you experienced regular headaches?
_____ 5. Is your mouth or throat often dry?
_____ 6. Do you suffer from bad breath?
_____ 7. Are you bothered by a post-nasal drip, nasal itch and/or congestion?
_____ 8. Do you experience any tightness in the chest?
_____ 9. Do you experience ear sensitivity or fluid in the ears?
_____ 10. Do you regularly experience
heartburn or indigestion?
TOTAL SCORE
LIST 1. __________
LIST 2. __________
LIST 3. __________
Now total your score.
If you have one or more ticks in List 1,
Two or more in List 2
Any in List 3- Candida is possibly involved.
This
questionnaire is provided for general
information only and is not intended
to be used for self diagnosis. Some
of the symptoms could indicate a more
serious condition which could require
the assistance of a health
professional. If you consider Candida
to be a problem we encourage you to
discuss your condition with
a knowledgeable health professional
familiar with this subject. Candida Page
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