Candida

Do you suffer from a yeast overgrowth/candida?

SECTION A :

If you have the following problems please tick the box

Have you taken Tetracycline (or other antibiotics) for 2 months or longer (25 points)
Have you at any time in your life taken “broad spectrum” antibiotics for respiratory urinary or other infections for 2 months or longer, or in shorter courses 4 or more times in a 1 year period. (20 points)
Have you at any time in your life been troubles by persistent vaginal problems or had 3 or more episode of vaginitis in a year? (25 points)
Have you been pregnant more than twice? ( 5 points)
Have you been pregnant once (3 points)
Have you taken birth control pills for more than 2 years (15 points)
Have you been taking birth control pills for 6 months to 2 years (18 points)
Have you taken Predisone, Decadron or other cortisone type drugs for more than weeks (15 points)
Have you taken Predisone, Decadron or other cortisone type drugs for less than 2 weeks (6 points)
Does exposure to perfumes, insecticides, fabric shop odours and other chemicals provoke moderate to severe problems? (20 points)
OR mild symptoms? (5 points)
Are your symptoms worse on damp, muggy days or in mouldy places? (20 points)
Have you had persistent athletes foot, “jock itch” or other fungal infections of the skin or nails? Have such infections been severe or persistent (20 points) OR mild to moderate (10 points)
Do you crave sugar (10 points)
Do you crave breads (10 points)
Do you crave alcohol (10 points)
Does tobacco smoke really bother you (10 points)

Section A total =

SECTION B: Major symptoms
For each symptom present, enter the appropriate number of points in the point score column
If the symptom is mild score 3 point,
If the symptom is moderate score 6 point,
If the symptom is severe or disabling score 9 point.

Point score

Symptoms Mild (3) Moderate (6) Severe (9)

1. Fatigue or lethargy – ☐ ☐ ☐

2. Feeling of being drained – ☐ ☐ ☐

3. Poor memory- ☐ ☐ ☐

4. Feeling spacey or unreal- ☐ ☐ ☐

5. Depression- ☐ ☐ ☐

6. Numbness, burning or tingling- ☐ ☐ ☐

7. Muscle aches- ☐ ☐ ☐

8. Muscle weakness- ☐ ☐ ☐

9. Abdominal pain- ☐ ☐ ☐

10. Constipation- ☐ ☐ ☐

11. Diarrhea- ☐ ☐ ☐

12. Bloating- ☐ ☐ ☐

13. Troublesome with vaginal discharge- ☐ ☐ ☐

14. Persistent vaginal burning or itching- ☐ ☐ ☐

15. Prostatitis (inflamed or enlarged prostate)- ☐ ☐ ☐

16. Impotence- ☐ ☐ ☐

17. Loss of sexual feeling- ☐ ☐ ☐

18. Endrometriosis- ☐ ☐ ☐

19. Dysmenorrhea (painful periods)- ☐ ☐ ☐

20. Premenstrual tension- ☐ ☐ ☐

21. Spots in front of eyes- ☐ ☐ ☐

22. Erratic vision- ☐ ☐ ☐

Section B total =

SECTION C : Other symptoms

For each symptom which is present, enter the appropriate number of points in the point score column
If the symptom is mild score 1 point,
If the symptom is moderate score 2 point,
If the symptom is severe or disabling score 3 point.

Point score

Symptoms Mild (1) Moderate (2) Severe (3)

1. Drowsiness- ☐ ☐ ☐

2. Irritability or jitteriness- ☐ ☐ ☐

3. Lack of coordination- ☐ ☐ ☐

4. Inability to concentrate- ☐ ☐ ☐

5. Frequent mood swings- ☐ ☐ ☐

6. Headache- ☐ ☐ ☐

7. Dizziness/loss of balance- ☐ ☐ ☐

8. Pressure above the ears/feeling as though ☐ ☐ ☐

9. your head is swelling and /or tingling- ☐ ☐ ☐

10. Itching- ☐ ☐ ☐

11. Rashes- ☐ ☐ ☐

12. Heartburn- ☐ ☐ ☐

13. Indigestion- ☐ ☐ ☐

14. Belching and intestinal gas- ☐ ☐ ☐

15. Mucus in stools- ☐ ☐ ☐

16. Hemorrhoids- ☐ ☐ ☐

17. Blisters or rash in the mouth- ☐ ☐ ☐

18. Bad breath- ☐ ☐ ☐

19. Joint swelling/arthritis- ☐ ☐ ☐

20. Nasal congestion or discharge- ☐ ☐ ☐

21. Post nasal drip- ☐ ☐ ☐

22. Nasal itching- ☐ ☐ ☐

23. Sore or dry throat- ☐ ☐ ☐

24. Cough- ☐ ☐ ☐

25. Pain or tightness in chest- ☐ ☐ ☐

26. Wheezing or shortness of breath- ☐ ☐ ☐

27. Urinary urgency or frequency- ☐ ☐ ☐

28. Burning on urination- ☐ ☐ ☐

29. Failing vision- ☐ ☐ ☐

30. Burning or tearing eyes- ☐ ☐ ☐

31. Recurrent ear infections- ☐ ☐ ☐

32. Fluid in ears- ☐ ☐ ☐

33. Ear pain or deafness- ☐ ☐ ☐

34. History of grommets- ☐ ☐ ☐

Section C total =

Grand Total: ( A+B+C ) =

Evaluating the score (Grand Total):
Note that the scoring will be different for men and women since seven questions apply exclusively to women, while only 2 apply to men.

Over 180 (women)/140 (men) = Candida almost certainly plays a role in causing your health problems.

Over 120 (women)/90(men) = Candida probably plays a role in causing your health problems.

60-120 (women)/40-90 (men) = Candida possibly plays a role in causing your health problems.

Less than 60 (women) /40 (men) = Candida is less apt at playing a significant role in causing your health problems.

To complete a candida cleanse you will need to follow a strict candida diet as well as implementing a candida supplement kit. We can support you with specific candida diet protocol that will get ride of candida effectively. Please contact us.

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