Candida questionnaire

CANDIDA QUESTIONNAIRE
The total score will help you and your naturopath decide if your health problems are yeast-connected.
Scores in women will run higher, as seven items in the questionnaire apply exclusively to women, while only two
apply exclusively to men.
** Women with scores over 130 and men with scores over 140. Yeast connected health problems almost a certainty.
** Women with scores over 60 and men with scores over 40. Yeast connected health problems are a possibility.
** Women with scores less than 60 and men with scores les than 40. Yeast connected health problems are less likely.
SECTION A : HISTORY
For each of your symptoms, circle the number in the point score column.
Add total score and record it at the end of this section.
1. Have you taken tetracycline or other antibiotics for acne for 1 month (or longer)? 25 2. Have you at any time in your life taken other broadspectrum antibiotics for respiratory, urinary, or other infections (for 2 months or longer, or in shorter courses 4 or more times in a 1year period)? 3. Have you taken a broad-spectrum antibiotic drug, even one course? 6 4. Have you, at any time in your life, been bothered by persistent prostatitis, vaginitis, or other problems affecting your reproductive organs? 7. Have you taken prednisone or other cortisone-type drugs: - for more than 2 weeks? 8. Does exposure to perfumes, insecticides, fabric shop odors, and other chemical provoke: 9. Are you symptoms worse on damp, rainy, foggy days or in mouldy places? 20 10. Have you had athlete’s foot, ringworm, other chronic fungal infections Yes / No of the skin or nails? Have the infections been: 11. Do you crave (or really enjoy) sugar or sweets like lollies, marmalade/jam? 10 12. Do you crave (or really enjoy)breads? 13. Do you crave (or really enjoy)alcoholic beverages? 10 14. Does tobacco smoke really bother you? TOTAL SCORE – SECTION A _____
2005 The Naturopaths Ltd. 20 Village Court Havelock North Hawke’s Bay New Zealand SECTION B: MAJOR SYMPTOMS
For each of your symptoms, please enter the appropriate figure in the point score column:

Mild, if a symptom is occasional or mild 3 points
Frequent and/or moderately severe 6 points
Severe and/or disabling 9 points
Please add total score and record it at the end of this section. Fatigue and lethargy ____ Cramps and/or other menstrual irregularities
TOTAL SCORESECTION B (a) _____ TOTAL SCORESECTION B (b) _____
TOTAL SCORESECTION B (a + b) _____
2005 The Naturopaths Ltd. 20 Village Court Havelock North Hawke’s Bay New Zealand
SECTION C: OTHER SYMPTOMS
For each of your symptoms, please enter the appropriate figure in the point score column:
Mild, if a symptom is occasional or mild 3 points
Frequent and/or moderately severe 6 points
Severe and/or disabling 9 points
Please add your total score and record it at the end of this section. Recurrent ear infections or fluid in ears ____
TOTAL SCORE – SECTION C (a)
____ TOTAL SCORE – SECTION C (b) ____

TOTAL SCORE – SECTION A ____
TOTAL SCORE – SECTION B (a & b) ____
TOTAL SCORE – SECTION C (a & b) ____
GRAND TOTAL SCORE ____
2005 The Naturopaths Ltd. 20 Village Court Havelock North Hawke’s Bay New Zealand

Source: http://www.naturopath.co.nz/site/naturopaths/files/Case%20Taking%20Forms/Candida%20Questionnaire.pdf