Candida Self-Test

For Each of the Following Questions, Click on the Appropriate Circle in the Point Score Column.
Never=0 Rarely=1 Sometimes=2 Often=3

 

1
Have you taken birth control pills over the past 2 years?
NeverRarelySometimesOften


2
Have you experienced nail fungus, athlete's foot or jock itch?
NeverRarelySometimesOften
3
Do you crave sugar?
NeverRarelySometimesOften

 

4
Do you crave breads?
NeverRarelySometimesOften
5
Do you crave alcoholic beverages?
NeverRarelySometimesOften

 

6
Do you feel drained?
NeverRarelySometimesOften
7
Fatigue or lethargy
NeverRarelySometimesOften

 

8
Poor memory
NeverRarelySometimesOften
9
Feeling "spacey"
NeverRarelySometimesOften

 

10
Depression
NeverRarelySometimesOften
11
Muscle aches
NeverRarelySometimesOften

 

12
Pain or swelling in joints
NeverRarelySometimesOften
13
Abdominal pain
NeverRarelySometimesOften

 

14
Abdominal bloating
NeverRarelySometimesOften
15
Constipation
NeverRarelySometimesOften

 

16
Persistent vaginal itch
NeverRarelySometimesOften
17
Persistent vaginal burning
NeverRarelySometimesOften

 

18
Prostatis (inflammation of prostate)
NeverRarelySometimesOften
19
Diarrhea
NeverRarelySometimesOften

 

20
Impotence
NeverRarelySometimesOften
21
Loss of sexual desire
NeverRarelySometimesOften

 

22
Premenstrual tension
NeverRarelySometimesOften
23
Drowsiness
NeverRarelySometimesOften

 

24
Irritability
NeverRarelySometimesOften
25
Inability to concentrate
NeverRarelySometimesOften

 

26
Frequent mood swings
NeverRarelySometimesOften
27
Headaches
NeverRarelySometimesOften

 

28
Dizziness
NeverRarelySometimesOften
29
Itchy skin
NeverRarelySometimesOften

 

30
Rashes
NeverRarelySometimesOften
31
Belching and intestinal gas
NeverRarelySometimesOften

 

32
Hemorrhoids
NeverRarelySometimesOften
33
Dry mouth
NeverRarelySometimesOften

 

34
White coating on tongue
NeverRarelySometimesOften
35
Bad breath
NeverRarelySometimesOften

 

36
Nasal congestion or discharge
NeverRarelySometimesOften
37
Sore or dry throat
NeverRarelySometimesOften

 

38
Urinary urgency or frequency
NeverRarelySometimesOften
39
Burning on urination
NeverRarelySometimesOften

 

40
Recurrent infection or fluid in ears
NeverRarelySometimesOften
41
Ear pain
NeverRarelySometimesOften

 

For the Following Question, Click on the Appropriate Circle in the Point Score Column
Never 1-2 Times=5 Points 3-5 Times=10 Points 6 Times or More=20 Points
42
How many times have you taken antibiotics over the past 10 years?
01-23-56 or more