Candida Test

Developed by William Crook, M.D.

Section A: History

Are you:
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 two months or longer, or in shorter courses four 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...

Have you taken birth control …

Have you taken prednisone, Decadron, or other cortisone-type drugs …

Does exposure to perfumes, insecticides, fabric, shop odors, or other chemicals provoke …

Are your symptoms worse on damp, muggy days or in moldy places?
Have you had athletes foot, ringworm, jock itch or other chronic fungus infections of the skin or nails? Have such infections been …

Do you crave sugar?
Do you crave breads?
Do you crave alcoholic beverages?
Does tobacco smoke really bother you?

Section B: Major Symptoms. Do you have:

Fatigue or lethargy
Feeling of being drained
Poor memory
Feeling spacey or unreal
Inability to make decisions
Numbness, burning or tingling
Insomnia
Muscle aches
Muscle weakness or paralysis
Pain and/or swelling in joints
Abdominal pain
Constipation
Diarrhea
Bloating, belching or intestinal gas
Troublesome vaginal burning, itching or discharge
Prostatitis
Impotence
Loss of sexual desire or feeling
Endometriosis or infertility
Cramps and/or other menstrual irregularities
Premenstrual tension
Attacks of anxiety or crying
Cold hands or feet and/or chilliness
Shaking or irritable when hungry

Section C: Minor Symptoms. Do you have:

Drowsiness
Irritability or jiteriness
Unco-ordination
Inability to concentrate
Frequent mood swings
Headache
Diziness/loss of balance
Pressure above ears, feeling of head swelling
Tendency to bruise easily
Chronic rashes or itching
Psoriasis or recurrent hives
Indigestion or heartburn
Food sensitivity or intolerance
Mucus in stools
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, loss of voice
Cough or recurrent bronchitis
Pain or tightness in chest
Wheezing or shortness of breath
Urinary frequency, urgency or incontinence
Burning on urination
Spots in front of eyes or erratic vision
Burning or tearing of eyes
Recurrent infections or fluid in ears
Ear pain or deafness