Female Candida Yeast Assessment
What is your age?
Have you ever taken antibiotics (such as tetracycline) for acne for 1 month or longer?
Have you ever taken antibiotics for respiratory, urinary, or another infection for 2 months or longer (or for shorter durations 4 or more times during a 1 year period)
Have you ever taken antibiotic drugs in your life, even one course?
Have you ever suffered with persistent vaginitis, endometriosis or other problems affecting your reproductive organs?
Have you been pregnant ... (please answer one of the 2 options below)
2 or more times?
1 time?
Have you taken birth control pills ... (please answer one of the 2 options below)
For more than 2 years?
For six months to 2 years?
Have you ever taken any cortisone-type drug such as inhaled steroids for asthma or skin problems? (please answer one of the 2 options below)
For more than 2 weeks
For 2 weeks or less
Have you ever had athlete’s foot, ringworm or other fungal infections of the skin or nails & have these infections been... (please answer one of the 2 options below)
Severe or persistent?
Mild to moderate?
Do you get cravings for sweets, soda drinks, candy, chocolate, ice cream, etc?
Do you get cravings for bread, potato chips or french fries?
Do you get cravings for alcoholic beverages?
Fatigue and lethargy
Muscle weakness
Poor memory
Brain fog, inability to concentrate or mentally “just not with it”
Headaches
Depression
Itching ears, groin, scalp, armpits, and/or skin rashes anywhere on the body
Pain and/or swelling in joints
Irritability or anxiety
Abdominal pain, bloating or gas
Constipation
Diarrhea
How long have you be struggling with these symptoms?
How frequently do your symptoms flare up?
Have you tried taking a pharmaceutical drug for these problems & did you feel relief or did symptoms return?
Have you tried taking a natural supplement to help with your symptoms?
Have you been to a doctor & what has your experience been like trying to get help with these symptoms via conventional medicine?
Do you feel like your symptoms prevent you from doing things you want or interfere with your daily life? If so, what things?
Which symptoms or issues bother you the most (you can check more than one)?
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