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Victoria Smith, BS.HT
Board Certified Holistic Health Practitioner
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Yeast Questionnaire - Long Version

An overgrowth of Candida Yeast Fungi can challenge your health, create dreadful symptoms, making life difficult and sometimes unbearable. 

This free yeast questionnaire lists factors in your medical history that may promote the growth of the common yeast, Candida Albicans (Section A), and Symptoms commonly found in individuals with yeast-connected illness (Sections B and C). Keep track of your score, as this test may provide you with valuable information regarding your health - and suggestions on how to positively impact how you feel.

Section A: History

1. Have you taken tetracycline's (Sumycin®, Panmycin®, Vibramycin®,Minocin®, etc.) or other antibiotics for acne for 1 month (or longer)? Point score-50

2. Have you, at any time in your life, taken other "broad spectrum" antibiotics for respiratory, urinary or other infections for 2 months or longer, or for shorter periods 4 or more times in a 1-year span? Point score-50

3. Have you taken a broad spectrum antibiotic drug - even for one period? Point score-6

4. Have you, at any time in your life, been bothered by persistent prostatitis, vaginitis, or other problems affecting your reproductive organs? Point score-25

5. Have you been pregnant 2 or more times? Point score-5 Pregnant 1 time? Point score-3

6. Have you taken birth control pills for more than 2 years? Point score-15 Taken birth control pills 6 months to 2 years? Point score-8

7. Have you taken prednisone, Decadron®, or other cortisone-type drugs by mouth or inhalation** for more than 2 weeks? Point score-15 Taken these drugs 2 weeks or less? Point score-6

8. Does exposure to perfumes, insecticides, fabric shop odors, or other chemicals provoke moderate to severe Symptoms? Point score-20 Does exposure produce mild Symptoms? Point score-5

9. Are your Symptoms worse on damp, muggy days or in moldy places? Point score-20

10.Have you had athlete's foot, ringworm, "jock itch" or other chronic fungus infections of the skin or nails that have been severe or persistent? Point score-20 Mild or moderate? Point score-10

11. Do you crave sugar? Point score-10

12. Do you crave breads? Point score-10

13. Do you crave alcoholic beverages? Point score-10

14. Does tobacco smoke really bother you? Point score-10

Total Score, Section A _______ **The use of nasal or bronchial sprays containing cortisone and/or other steroids promotes overgrowth in the respiratory tract.

Section B: Major Symptoms

If a symptom is occasional or mild, score 3 If a symptom is frequent and/or moderately severe, score 6 If a symptom is severe and/or disabling, score 9

  1. Fatigue or lethargy
  2. Feeling of being "drained"
  3. Poor memory
  4. Feeling "spacey" or "unreal"
  5. Inability to make decisions
  6. Numbness, burning or tingling
  7. Insomnia
  8. Muscle aches
  9. Muscle weakness or paralysis
  10. Pain and/or swelling in joints
  11. Abdominal pain
  12. Constipation
  13. Diarrhea
  14. Bloating, belching or intestinal gas
  15. Troublesome vaginal burning, itching or discharge
  16. Prostatitis
  17. Impotence
  18. Loss of sexual desire or feeling
  19. Endometriosis or infertility
  20. Cramps and/or other menstrual irregularities
  21. Premenstrual tension
  22. Attacks of anxiety or crying
  23. Cold hands or feet and/or chilliness
  24. Shaking or irritable when hungry

Total Score, Section B _______

Section C: Other Symptoms

If a symptom is occasional or mild, score 3

If a symptom is frequent and/or moderately severe, score 6

If a symptom is severe and/or persistent, score 9

  1. Drowsines
  2. Irritability or jitteriness
  3. Incoordination
  4. Inability to concentrate
  5. Frequent mood swings
  6. Headaches
  7. Dizziness/loss of balance
  8. Pressure above ears, feeling of head swelling
  9. Tendency to bruise easily
  10. Chronic rashes or itching
  11. Psoriasis or recurrent hives
  12. Indigestion or heartburn
  13. Food sensitivity or intolerance
  14. Mucus in stools
  15. Rectal itching
  16. Dry mouth or throat
  17. Rash or blisters in mouth
  18. Bad breath
  19. Foot, hair or body odor not relieved by washing
  20. Nasal congestion or post nasal drip
  21. Nasal itching
  22. Sore throat
  23. Laryngitis, loss of voice
  24. Cough or recurrent bronchitis
  25. Pain or tightness in chest
  26. Wheezing or shortness of breath
  27. Urinary frequency, urgency or incontinence
  28. Burning on urination
  29. Spots in front of eyes or erratic vision
  30. Burning or tearing of eyes
  31. Recurrent infections or fluid in ears
  32. Ear pain or deafness

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.

Total Score, Section C _______

Total Score, Section B _______

Total Score, Section A _______

Grand Total Score (add totals from Sections A, B and C) _______

Scores for women will run higher, as 7 items in this questionnaire apply exclusively to women, while only 2 apply exclusively to men.

Scores over 180 (in women) and 140 (in men) almost certainly has yeast-connected health problems.  Contact me to learn of the most effective options, to provide you with the most rapid and long lasting results.  You have clearly been suffering a great deal.  I am here to help you recover! 

Scores over 120 (in women) and 90 (in men) probably have yeast-connected health problems.   I can help you sort through what may or may not be contributing to your discomforts, and make suggestions to you, to find relief.  I am here to help you.

Scores over 60 (in women), and 40 (in men) possibly have yeast-connected health problems.  There are some things that are bothersome.  It is my pleasure to help you find relief. 

Scores less than 60 for women and 40 for men, yeast is less apt to cause health problems.  While yeast may not be contributing to your health concerns, something else is.  I am prepared to help you.

Disclaimer:  These statements have not been evaluated by the Food and Drug Administration. Products mentioned are not intended to diagnose, treat, cure or prevent any disease. Information and statements made are for educational purposes and are not intended to replace the advice of your health care professional.

Try The Other 2 FREE Tests

Test 1: Saliva Test

Test 2: Online Questionaire (short version)


Disclaimer:  These statements have not been evaluated by the Food and Drug Administration. Products mentioned are not intended to diagnose, treat, cure or prevent any disease. Information and statements made are for educational purposes and are not intended to replace the advice of your health care professional.


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