This questionnaire is designed for adults and the scoring system isn't appropriate for children.
It lists factors in your medical history which promote the growth of the common yeast, Candida
Albicans (Section A), and symptoms commonly found in individuals with yeast-connected illness
(Sections B and C).
For each “Yes” answer in Section A, check the box in that section. Your total score will calculate
at the bottom of the section. Then move on to Sections B and C and complete as directed.
Filling out and scoring this questionnaire should help you and your provider evaluate the possible
role of yeasts in contributing to your health problems, but it will not provide an automatic “Yes” or
“No” answer.Section A: HISTORY