Candida Short Questionnaire

Enter a number (from 0 - 5) after each of the following symptoms related to Candida. Zero (0) would represent "not present"; 5 would represent very severe expression of the symptom.

What is your gender?

Male

Female

Vaginal discharge

Frequent urination

Bladder infections

Sensitivity to smoke, perfume, insecticides, dry cleaning fumes, chemical fumes

All symptoms increase in dampness or on muggy days

Athletes foot, ringworm, "jock itch"

Do you crave sugar?

Do you crave bread?

Do you crave wine or beer?

Do you crave peanuts?

Do you crave oranges?

Do you crave grapes or raisins?

Fatigue or lethargy

Feeling "drained"

Feeling "spacey" or "unreal"

Depression

Numbness

Abdominal pain

Constipation

Diarrhea

Bloating

Low sex drive

Cramps and/or menstrual irregularities

Spots in front of eyes

Irritability

Inability to concentrate

Mood swings

Headaches

Dizziness/loss of balance

Itching

Rashes

Heartburn

Indigestion

Belching and/or passing gas

Burning anus

Bad breath

Nasal congestion

Burning or tearing of eyes

Total Score on Short Questionnaire:
(Treatment is recommended if females score
above 20 or males are above 15)