Candida Yeast Infection Survey

 

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Who Should take the Candida/Yeast Survey?
1. Do You Suspect you have Candida or a Yeast Infection? This survey is one of the BEST ways in determining if a person is suffering from Candida OR a similar condition with the same root problem, which we address!
2. A Candida Overgrowth is present in over 80% of the population, wouldn't you like a better idea if you're one of them? Stop Wondering Why You're Always Sick and KNOW Why!
3. In as little as 2-3 minutes you will get a solid understanding of whether Candida or a Yeast Infection is a problem for you. The Answer may surprise you!
4. Once you complete the survey and submit your results you will then be given detailed instructions on what you need to do "NEXT" to take charge of your health once and for all.
5. Best of all the Survey is FREE, EASY, QUICK and ACCURATE!

Who's Behind the Yeast Infection and Candida Survey?

We consists of a group of expert nutritionists, medical and nutritional researchers and nutritional consultants that are passionate about this health epidemic.  We want to help those in need. We all formerly had Candida and Yeast Infections, yes all of us, men and women.  We each possess well over 20 years of combined research in the field of natural therapies and specifically Candida. 


   


Yeast and Candida Survey Questionnaire

Choose Male or Female :            

 

#1 Mental, Emotional, & Physical Symptoms

[None] [Mild] [Moderate] [Severe]
1 Mood Swings, Emotional Outbursts, Irritable
2 Chronic Fatigue, Extreme Fatigue, Feel Drained
3 Poor Concentration and Memory, Spaced out Feeling
4 Insomnia, Chronic Sleeping Trouble
5 Muscle Aches, Weakness or Paralysis
6 Pain or Swelling in Joints
7 Abdominal Pain, Bloating, Belching and Gas
8 Constipation or Diarrhea
9 Chronic Indigestion, Frequent use of Antacids
10 Vaginal Burning, Itching, Discharge
11 Rectal Itching
12 Prostatitis or Inflamed Prostate
13 Impotence or Loss of Sexual Desire and Feeling
14 Endometriosis or Infertility
15 PMS, Cramps and Menstrual Irregularities
16 Anxiety Attacks, Panic Attacks, Chronic High Stress Levels
17 Cold Hands or Feet and/or Chilliness
18 Shaking or Irritability when Hungry
19 Headaches or Migraines
20 Food Sensitivities and Intolerances
21 Mucus or White Spots in Stool
22 Chronic Rashes, Itching, Psoriasis, Hives, Chronic Skin Problems
23 Dry Mouth, Rash or Blisters in Mouth
24 White Coating on Tongue, Oral Thrush
25 Bad Breath, Body Odor
26 Nasal Congestion or Post-Nasal Drip
27 Nasal Itching
28 Sore Throat or Laryngitis
29 Chronic Cough or Bronchitis
30 Pain or Tightness in Chest
31 Wheezing or Shortness of Breath
32 Urinary Frequency, Urgency or Incontinence
33 Burning Urination
34 Floaters or Dark Spots in Front of Vision
35 Recurrent Ear Infections, Ear Pain or Deafness

#2 Medical History

No Yes
36 Have you at any time in your life taken an antibiotic?  
37 Have you ever taken an antibiotic for 2 months or more. Or have you taken 4 or more antibiotics in the same year?  
38 Have you ever taken tetracycline or other antibiotics for acne?  
39 Have you ever suffered persistent prostatis, vaginitis or other infection related issues with your genital area?  
40 Do your symptoms become worse in damp, muggy or moldy environments?  
41 Do you crave sugar?  
42 Do you crave breads?  
43 Do you crave alcohol?  
44 Have you ever been pregnant?  
45           2+ times?  
46 Have you ever taken birth control pills?  
47           For more than 2 years?  
48           Between 6 months and 2 years?  
49 Do you suffer symptoms in reaction to perfumes, insecticides, smoke or any other chemicals?  
50           Moderate to Severe Symptoms?  
51           Mild Symptoms?  
52 Have you ever used prednisone or any other cortisone-type drugs by mouth or inhalation?  
53           For more than 2 weeks?  
54           For 2 weeks or less?  
55 Have you ever had athlete’s foot, ringworm, jock itch or other chronic fungus infections of the skin, nails?  
56           Were the symptoms Severe or Persistent?  
57           Mild or Moderate?  
Press "Submit"  for Results  

 

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