Candida Questionnaire

Have you taken antibiotics repeatedly in the past?*

Did your symptoms started after using antibiotics?*

Do you experience rectal itching?*

Do you crave peanut butter?*

Do you crave corn chips or related products?*

Do you experience digestive disturbances not relieved by digestive aids?*

Do you crave carbohydrates (sweets, starches, alcohol, breads)?*

Do you have late night food cravings?*

Is there a greenish tinge to back of tongue in the morning?*

Do you experience unexplained depression?*

Do you have any vague abdominal or digestive complaints?*

Have you had hives, psoriasis, or chronic skin rashes?*

Do you experience unexplained joint or muscle pain?*

Do you feel bad all over for no apparent reason?*

Are your symptoms made worse by eating high carbohydrate foods?*

Are your symptoms worse if you are exposed to molds in the environment?*

Are your symptoms made worse by eating aged cheese?*

Are your symptoms made worse by drinking beer?*

Are your symptoms worse in damp or wet weather?*

Do your bowel movements sometimes have a moldy smell?*

For Women Only

Do you wear nylon or synthetic pantyhose or underwear?*

Have you in the past or are you currently taking birth control pills?*

Do you experience vaginal itching?*

Do you have a vaginal discharge that smells like cheese?*

Phone

This field is for validation purposes and should be left unchanged.