Candida Questionnaire
Have you ever taken antibiotics? ___
Have you ever taken prednisone or other cortisone-type drugs by mouth, inhalation or injection? ___
Have you ever taken birth control pills? ___
Have you been bothered by recurrent vaginal, prostate or urinary infections? ___
Do you suffer with burning urination, urinary frequency, urgency or incontinence? ___
Do you suffer with rectal/vaginal itching or burning? ___
Do you feel "sick all over," yet the cause hasn't been found? ___
Are you bothered by hormone disturbances, including PMS, menstrual irregularities, sexual dysfunction, low body
temperature or fatigue? ___
Are you very sensitive to tobacco smoke, perfumes, colognes and other chemical odors? ___
Are you bothered by memory or concentration problems (brain fog)? Do you sometimes feel "spaced out"? ___
Do you suffer with constipation, diarrhea, bloating or abdominal pain? ___
Do you suffer with belching, bloating, indigestion or heartburn? ___
Does your skin itch, tingle or burn; or is it unusually dry; or are you bothered by rashes? ___
Do you crave sugars and/or breads? ___
Do some foods disagree with you or trigger your symptoms? ___
Do you have nasal itching, congestion or post-nasal drip? ___
Do you feel fatigued, irritable or have frequent mood swings? ___
Do you have bad breath, suffer with gingivitis or get canker sores? ___
Do you have poor digestion or are unable to lose weight? ___
*IF YOU ANSWERED YES TO 5 OR MORE OF THE QUESTIONS, AN OVERGROWTH OF YEAST and/or CANDIDA MAY BE
CONTRIBUTING TO YOUR HEALTH PROBLEMS and/or SUFFERING FROM LIFESTYLE INDUCED DYSBIOSIS SYNDROME
(L.I.D.S.).
SUPPLEMENTING YOUR DIET WITH GENEFLORA AND/OR GENEFLORA PRODUCTS IS HIGHLY RECOMMENDED TO
CONTROL CANDIDA AND YEAST INFECTIONS.
Have you ever taken antibiotics? ___
Have you ever taken prednisone or other cortisone-type drugs by mouth, inhalation or injection? ___
Have you ever taken birth control pills? ___
Have you been bothered by recurrent vaginal, prostate or urinary infections? ___
Do you suffer with burning urination, urinary frequency, urgency or incontinence? ___
Do you suffer with rectal/vaginal itching or burning? ___
Do you feel "sick all over," yet the cause hasn't been found? ___
Are you bothered by hormone disturbances, including PMS, menstrual irregularities, sexual dysfunction, low body
temperature or fatigue? ___
Are you very sensitive to tobacco smoke, perfumes, colognes and other chemical odors? ___
Are you bothered by memory or concentration problems (brain fog)? Do you sometimes feel "spaced out"? ___
Do you suffer with constipation, diarrhea, bloating or abdominal pain? ___
Do you suffer with belching, bloating, indigestion or heartburn? ___
Does your skin itch, tingle or burn; or is it unusually dry; or are you bothered by rashes? ___
Do you crave sugars and/or breads? ___
Do some foods disagree with you or trigger your symptoms? ___
Do you have nasal itching, congestion or post-nasal drip? ___
Do you feel fatigued, irritable or have frequent mood swings? ___
Do you have bad breath, suffer with gingivitis or get canker sores? ___
Do you have poor digestion or are unable to lose weight? ___
*IF YOU ANSWERED YES TO 5 OR MORE OF THE QUESTIONS, AN OVERGROWTH OF YEAST and/or CANDIDA MAY BE
CONTRIBUTING TO YOUR HEALTH PROBLEMS and/or SUFFERING FROM LIFESTYLE INDUCED DYSBIOSIS SYNDROME
(L.I.D.S.).
SUPPLEMENTING YOUR DIET WITH GENEFLORA AND/OR GENEFLORA PRODUCTS IS HIGHLY RECOMMENDED TO
CONTROL CANDIDA AND YEAST INFECTIONS.
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