Yeast Quiz
From
The Yeast Connection
, by William Crook, M.D.
What is your gender?
Male
Female
Section I: General Questions
1. Have you taken tetracyclines or other antibiotics for acne or other reasons for 1 month (or longer)?
No
Yes
2. Have you ever taken broad spectrum antibiotics or other antibacterial medication for respiratory, urinary or other infections for two months or more, or in shorter courses four or more times in one-year?
No
Yes
3. Have you ever taken a broad-spectrum antibiotic drug-even in a single dose?
No
Yes
4. Have you ever been bothered by persistent prostatitis, vaginitis or other problems affecting your reproductive organs?
No
Yes
5. Have you been pregnant?
No
Yes, once
Yes, 2 or more times
6. Have you taken birth control pills?
No
Yes, 6 months to two years
Yes, more than two years
7. Have you taken prednisone, Decadron®, or other cortisone-type drugs by mouth or inhalation?
No
For two weeks or less
For more than two weeks
8. Does exposure to perfumes, insecticides, fabric shop odors, or other chemicals produce symptoms?
No
Yes
Yes, moderate to severe
9. Are your symptoms worse on damp, muggy days or in moldy places?
No
Yes
10. Have you had athlete's foot, ringworm, "jock itch" or other chronic fungus infections of the skin or nails?
No
Yes, mild or moderate
Severe or persistent
11. Do you crave sugar?
No
Yes
12. Do you crave breads?
No
Yes
13. Do you crave alcoholic beverages?
No
Yes
14. Does tobacco smoke really bother you?
No
Yes
You can check your score so far, or keep going.
Section II: Major Symptoms
1. Fatigue or lethargy
None
Mild
Moderate
Severe Disabling
2. Feeling of being "drained"
None
Mild
Moderate
Severe Disabling
3. Poor memory
None
Mild
Moderate
Severe Disabling
4. Feeling "spacey" or "unreal"
None
Mild
Moderate
Severe Disabling
5. Inability to make decisions
None
Mild
Moderate
Severe Disabling
6. Numbness, burning or tingling
None
Mild
Moderate
Severe Disabling
7. Insomnia
None
Mild
Moderate
Severe Disabling
8. Muscle aches
None
Mild
Moderate
Severe Disabling
9. Muscle weakness or paralysis
None
Mild
Moderate
Severe Disabling
10. Pain and/or swelling in joints
None
Mild
Moderate
Severe Disabling
11. Abdominal pain
None
Mild
Moderate
Severe Disabling
12. Constipation
None
Mild
Moderate
Severe Disabling
13. Diarrhea
None
Mild
Moderate
Severe Disabling
14. Bloating, belching or intestinal gas
None
Mild
Moderate
Severe Disabling
15. Troublesome vaginal burning, itching or discharge
None
Mild
Moderate
Severe Disabling
16. Prostatitis
None
Mild
Moderate
Severe Disabling
17. Impotence
None
Mild
Moderate
Severe Disabling
18. Loss of sexual desire
None
Mild
Moderate
Severe Disabling
You can check your score so far, or keep going.
Section III: Minor Symptoms
1. Drowsiness, including inappropriate drowsiness
None
Mild
Moderate
Severe Disabling
2. Irritability
None
Mild
Moderate
Severe Disabling
3. Incoordination
None
Mild
Moderate
Severe Disabling
4. Inability to concentrate
None
Mild
Moderate
Severe Disabling
5. Frequent mood swings
None
Mild
Moderate
Severe Disabling
6. Headaches
None
Mild
Moderate
Severe Disabling
7. Dizziness/loss of balance
None
Mild
Moderate
Severe Disabling
8. Pressure above ears, feeling of head swelling
None
Mild
Moderate
Severe Disabling
9. Tendency to bruise easily
None
Mild
Moderate
Severe Disabling
10. Chronic rashes or itching
None
Mild
Moderate
Severe Disabling
11. Psoriasis or recurrent hives
None
Mild
Moderate
Severe Disabling
12. Indigestion or heartburn
None
Mild
Moderate
Severe Disabling
13. Food sensitivity or intolerance
None
Mild
Moderate
Severe Disabling
14. Mucus in stools
None
Mild
Moderate
Severe Disabling
15. Rectal itching
None
Mild
Moderate
Severe Disabling
16. Dry mouth or throat
None
Mild
Moderate
Severe Disabling
17. Rash or blisters in mouth
None
Mild
Moderate
Severe Disabling
18. Bad breath
None
Mild
Moderate
Severe Disabling
19. Foot, hair or body odor not relieved by washing
None
Mild
Moderate
Severe Disabling
20. Nasal congestion or post nasal drip
None
Mild
Moderate
Severe Disabling
21. Nasal itching
None
Mild
Moderate
Severe Disabling
22. Sore throat
None
Mild
Moderate
Severe Disabling
23. Laryngitis, loss of voice
None
Mild
Moderate
Severe Disabling
24. Cough or recurrent bronchitis
None
Mild
Moderate
Severe Disabling
25. Pain or tightness in chest
None
Mild
Moderate
Severe Disabling
26. Wheezing or shortness of breath
None
Mild
Moderate
Severe Disabling
27. Urinary frequency, urgency or incontinence
None
Mild
Moderate
Severe Disabling
28. Burning on urination
None
Mild
Moderate
Severe Disabling
29. Spots in front of eyes or erratic vision
None
Mild
Moderate
Severe Disabling
30. Burning or tearing of eyes
None
Mild
Moderate
Severe Disabling
31. Recurrent infections or fluid in ears
None
Mild
Moderate
Severe Disabling
32. Ear pain or deafness
None
Mild
Moderate
Severe Disabling
Copyright
© 1983, William G. Crook, M.D.