|
|
| This Questionnaire is designed for adults and the scoring system isn't appropriate for children. It lists factors in your medical history which promotes the growth of Candida Albicans and symptoms commonly found in individuals with yeast connected illness. For each "Yes" answer in Section A, circle the Point Score in that section. Total your score and record it on the line at the end of the section. Then move on to Section B and C and score as directed. Filling out and scoring this questionnaire should help you and your physician evaluate the possible role of Candida in contributing to your health problems. Yet it will not provide an automatic "Yes" or "No" answer. |
| . | |
| Have you taken tetracyclines (Sumycin, Panmycin, Vibramycin, Minocin, etc.) or other antibiotics for acne for one month (or longer)? | |
| 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 in shorter courses 4 or more times in a one year period)? | |
| Have you taken a broad spectrum antibiotic drug- even a single course? | |
| Have you, at any time in your life, been bothered by persistent prostatitis, vaginitis or other problems affecting your reproductive organs? | |
| Have you been
pregnant... 2 or more times? 1 time? |
6 |
| Have you ever
taken birth control pills... For more than 2 years? For 6 months to 2 years? |
16 |
| Have you taken
prednisone, Decadron or other cortisone-type drugs... For more than two weeks? For 2 weeks or less? |
12 |
| Does exposure
to perfumes, insecticides, fabric, shop odors and other chemicals
provoke... Moderate to severe symptoms? Mild symptoms? |
10 |
| Are your symptoms worse on damp, muggy days or in moldy places? | |
| Have you had
athlete's foot, ring worm, "jock itch" or other chronic fungus infections
of the skin or nails? If so, have such infections been... Severe or persistent? Mild to moderate? |
20 |
| Do you crave sugar? | |
| Do you crave bread? | |
| Do you crave alcoholic beverages? | |
| Does tobacco smoke really bother you? | |
| _________ |
| For each of your symptoms
enter the appropriate figure in the Point Score column: If a symptom is occasional or mild score 6 points If a symptom is frequent or moderately severe score 12 points If a symptom is severe or disabling score 18 points Add total score and record it on the line at the end of this section. |
| . | |
| Fatigue or lethargy | _________ |
| Feeling of being "drained" | _________ |
| Depression | _________ |
| Poor Memory | _________ |
| Feeling "spacey" or "unreal" | _________ |
| Inability to make decisions | _________ |
| Numbness, burning or tingling | _________ |
| Headache | _________ |
| Muscle aches | _________ |
| Muscle weakness or paralysis | _________ |
| Pain or swelling in joints | _________ |
| Abdominal pain | _________ |
| Constipation or diarrhea | _________ |
| Bloating, belching or intestinal gas | _________ |
| Troublesome vaginal burning, itching or discharge | _________ |
| Prostatitis | _________ |
| Impotence | _________ |
| Loss of sexual desire or feeling | _________ |
| Endometriosis or infertility | _________ |
| Cramps or other menstrual irregularities | _________ |
| Premenstrual tension | _________ |
| Attacks of anxiety or crying | _________ |
| Cold hands or feet or chilliness | _________ |
| Shaking or irritable when hungry | _________ |
| _________ |
| For each of your symptoms
enter the appropriate figure in the Point Score column: If a symptom is occasional or mild score 2 points If a symptom is frequent or moderately severe score 4 points If a symptom is severe or disabling score 6 points Add total score and record it on the line at the end of this section. |
| . | |
| Drowsiness | _________ |
| Irritability or jitteriness | _________ |
| Incoordination | _________ |
| Inability to concentrate | _________ |
| Frequent mood swings | _________ |
| Insomnia | _________ |
| Dizziness or loss of balance | _________ |
| Pressure above ears ... feeling of head swelling | _________ |
| Tendency to bruise easily | _________ |
| Chronic rashes or itching | _________ |
| Numbness, tingling | _________ |
| Indigestion or heartburn | _________ |
| Food sensitivity or intolerance | _________ |
| Mucus in stool | _________ |
| Rectal itching | _________ |
| Dry mouth or throat | _________ |
| Rash or blisters in mouth | _________ |
| Bad breath | _________ |
| Foot, hair or body odor not relieved by washing | _________ |
| Nasal congestion or post nasal drip | _________ |
| Nasal itching | _________ |
| Sore throat | _________ |
| Laryngitis or loss of voice | _________ |
| Cough or recurrent bronchitis | _________ |
| Pain or tightness in chest | _________ |
| Wheezing or shortness of breath | _________ |
| Urinary frequency or urgency | _________ |
| Burning on urination | _________ |
| Spots in front of eyes or erratic visions | _________ |
| Burning or tearing of eyes | _________ |
| Recurrent infections or fluid in ears | _________ |
| Ear pain or deafness | _________ |
| _________ |
| _________ | |
| _________ | |
| _________ | |
| _________ |
| The Grand Total Score will help you and your physician decide if your health problems are yeast connected. Scores in woman will run higher, as 7 items in the questionnaire apply exclusively to women, while only 2 apply exclusively to men. |
| Yeast connected health problems are almost certainly present in women with scores over 360 and in men with scores over 280. |
| Yeast connected health problems are probably present in women with scores over 240 and in men with scores over 180 . |
| Yeast connected health problems are possibly present in women with scores over 120 and in men with scores over 80. |
| With scores of less than 120 in women and 80 in men, yeasts are less apt to cause health problems. |
| *Including Keflex , ampicillin,
amoxicillin, Ceclor, Bactrim and Septra. Such antibiotics kill off
the good bacteria in the digestive tract while they are supposed to
be killing the ones causing infection. Pepto Bismal also has the same
effect. These infectious bacteria also have the ability to mutate themselves
and become resistant to the drugs and will actually use the drugs to reproduce
themselves in many individuals! The best antibiotic is Raw Garlic Juice.
(Not granulated, powdered, baked, added to cooked food or processed
in any way. Irregardless of what all the "authorities" say, garlic loses
its rebalancing effect on the body when it is used in these ways. If
you don't believe it, try each way when you feel sick -- it must be
used for the prescribed dosage and time to be given a fair comparison. This
is not being done when tests are performed for medical studies whose outcomes
tell us garlic has no antibiotic properties. To accomplish these tests,
it is being used in a standardized and processed form, not from freshly
juiced potent raw garlic.) Information on this page is provided for informational purposes and is not meant to substitute for the advice provided by your own physician or other medical professional. You should not use this information for diagnosing or treating a health problem or disease, or prescribing any medication. You should read carefully all product packaging. If you have or suspect that you have a medical problem, promptly contact your health care provider. Information and statements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease. Re-establish intestinal flora with Natren or naturally fermented foods. |
|
|
|
PRODUCTS | E-MAIL | BACK | HOME |