Yeast Questionnaire

Would you like to know if your child’s health problems are related to Candida? Filling out and scoring this online questionnaire developed by Dr. William Crook, author of "The Yeast Connection Handbook," should help you and your physician evaluate the role Candida albicans may play in your child’s health problems.

* Filling out and scoring this questionnaire should help you and your physician evaluate how Candida albicans may be contributing to your child's health problems. Yet it will not provide an automatic Yes or No answer. A comprehensive history and physical examination are important. In addition, laboratory studies, x-rays, and other types of tests may also be appropriate.

Answer by clicking in the circle beside your answer.
During the two years before your child was born, were you bothered by recurrent vaginitis, menstrual irregularities, premenstrual tension, fatigue, headache, depression, digestive disorders, or “feeling bad all over?”
(Point score - 30)
Yes No
Was your child bothered by thrush?
(Point score - 0/10/20)
No
Mild
Severe
Was your child bothered by frequent diaper rashes in infancy?
(Point score - 0/10/20)
No
Mild
Severe or Persistent
During infancy, was your child bothered by colic and irritability lasting 3 months?
(Point score - 0/10/20)
No
Mild
Moderate to Severe
Are your child's symptoms worse on damp days or in damp or moldy places?
(Point score - 20)
Yes No
Has your child been bothered by recurrent or persistent “athlete’s foot” or chronic fungous infections of skin or nails?
(Point score - 30)
Yes No
Has your child been bothered by recurrent hives, eczema or other skin problems?
(Point score - 10)
Yes No
Has your child received 4 or more courses of antibiotic drugs during the past year? Or have they received continuous “prophylactic” courses of antibiotics drugs?
(Point score - 60)
Yes No
Has your child received 8 or more courses of “broad-spectrum” antibiotics during the past 3 years?
(Point score - 40)
Yes No
Has your child experienced recurrent ear problems?
(Point score - 20)
Yes No
Has your child had tubes inserted in his/her ears?
(Point score - 10)
Yes No
Has your child been labeled “hyperactive”?
(Point score - 0/10/20)
No
Mild
Moderate to Severe
Is your child bothered by learning problems (even though his/her early development history was normal)?
(Point score - 10)
Yes No
Does your child have a short attention span?
(Point score - 10)
Yes No
Is your child persistently irritable, unhappy and hard to please?
(Point score - 10)
Yes No
Has your child been bothered by persistent or recurrent digestive problems, including constipation, diarrhea, bloating, or excessive gas?
(Point score - 0/10/20/30)
No
Mild
Moderate
Severe
Has your child been bothered by persistent nasal congestion, cough and/or wheezing?
(Point score - 10)
Yes No
Is your child unusually tired or unhappy or depressed?
(Point score - 0/10/20)
No
Mild
Severe
Has your child been bothered by recurrent headaches, abdominal pain, or muscle aches?
(Point score - 0/10/20)
No
Mild
Severe
Does your child crave sweets?
(Point score - 10)
Yes No
Does exposure to perfume, insecticides, gas or other chemicals provoke moderate to severe symptoms?
(Point score - 30)
Yes No
Does tobacco smoke really bother your child?
(Point score - 20)
Yes No
Do you feel that your child isn’t well, yet diagnostic tests and studies haven’t revealed the cause?
(Point score - 10)
Yes No
Your Score:
Results:

The total score will help you and your physician decide if your health problems are yeast-connected.

Yeasts possibly play a role in causing health problems in children with scores of 60 or more.

Yeasts probably play a role in causing health problems in children with scores of 100 or more.

Yeasts almost certainly play a role in causing health problems in children with scores of 140 or more.