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Yeast Test and Questionnaire
Yeast Connection Test - Short Version Developed by William G. Crook, M.D. Are Your Health Problems If your answer is yes to any question, check the box in the right hand column. When you've completed the questionnaire, add up the points you've checked. Your score will help you determine the possibility (or probability) that your health problems are yeast connected. A more definitive test follows this one and it is highly recommended that you take it as well.
YES SCORE 1. Have you taken repeated or prolonged
courses 2. Have you been bothered by recurrent vaginal, prostate or urinary infections?3 3. Do you feel "sick all over," yet the cause hasn't been found?2 4. Are you bothered by hormone disturbances,including PMS, menstrual irregularities, sexual dysfunction, sugar craving, low body temperature or fatigue?2 5. Are you unusually sensitive to tobacco smoke, perfumes, colognes and other chemical odors?2 6. Are you bothered by memory or concentration problems? Do you sometimes feel "spaced out"?2 7. Have you taken prolonged courses of Prednisone or other steroids; or have you taken "the pill" for more than 3 years?2 8. Do some foods disagree with you or trigger your symptoms?1 9. Do you suffer with constipation, diarrhea, bloating or abdominal pain?1 10. Does your skin itch, tingle or burn; or is it unusually dry; or are you bothered by rashes?1 Scoring for women: If your score is 9 or more, your health problems are probably yeast connected. If your score is 12 or more, your health problems are almost certainly yeast connected. Scoring for men: If your score is 7 or more, your health problems are probably yeast connected. If your score is 10 or more, your health problems are almost certainly yeast connected. If your score is in the high range, you need to take the long questionnaire as well to get a more accurate indication of the severity of condition.
This is not an online test. We suggest you print it, circle your scores and keep it for future reference and to discuss with your healthcare provider. The results are important for you and your doctor to know.
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_______ 1. Drowsiness_______ 2. Irritability or jitteryness_______ 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.
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