CANDIDA QUESTIONNAIRE
The total score will help you and your naturopath decide if your health problems are yeast-connected. Scores in women will run higher, as seven items in the questionnaire apply exclusively to women, while only two apply exclusively to men. ** Women with scores over 130 and men with scores over 140. Yeast connected health problems almost a certainty. ** Women with scores over 60 and men with scores over 40. Yeast connected health problems are a possibility. ** Women with scores less than 60 and men with scores les than 40. Yeast connected health problems are less likely. SECTION A : HISTORY For each of your symptoms, circle the number in the point score column. Add total score and record it at the end of this section.
1. Have you taken tetracycline or other antibiotics for acne for 1 month (or longer)? 25 2. Have you at any time in your life taken other broadspectrum antibiotics for respiratory, urinary, or other infections (for 2 months or longer, or in shorter courses 4 or more times in a 1year period)?
3. Have you taken a broad-spectrum antibiotic drug, even one course? 6 4. Have you, at any time in your life, been bothered by persistent prostatitis, vaginitis, or other problems affecting your reproductive organs?
7. Have you taken prednisone or other cortisone-type drugs: - for more than 2 weeks?
8. Does exposure to perfumes, insecticides, fabric shop odors, and other chemical provoke:
9. Are you symptoms worse on damp, rainy, foggy days or in mouldy places? 20 10. Have you had athlete’s foot, ringworm, other chronic fungal infections Yes / No of the skin or nails? Have the infections been:
11. Do you crave (or really enjoy) sugar or sweets like lollies, marmalade/jam? 10 12. Do you crave (or really enjoy)breads?
13. Do you crave (or really enjoy)alcoholic beverages? 10 14. Does tobacco smoke really bother you?
TOTAL SCORE – SECTION A _____
2005 The Naturopaths Ltd.20 Village Court Havelock North Hawke’s Bay New Zealand
SECTION B: MAJOR SYMPTOMS For each of your symptoms, please enter the appropriate figure in the point score column:
Mild, if a symptom is occasional or mild 3 points Frequent and/or moderately severe 6 points Severe and/or disabling 9 points
Please add total score and record it at the end of this section. Fatigue and lethargy ____
Cramps and/or other menstrual irregularities
TOTAL SCORESECTION B (a) _____ TOTAL SCORESECTION B (b) _____ TOTAL SCORESECTION B (a + b) _____
2005 The Naturopaths Ltd.20 Village Court Havelock North Hawke’s Bay New Zealand
SECTION C: OTHER SYMPTOMS For each of your symptoms, please enter the appropriate figure in the point score column: Mild, if a symptom is occasional or mild 3 points Frequent and/or moderately severe 6 points Severe and/or disabling 9 points
Please add your total score and record it at the end of this section.
Recurrent ear infections or fluid in ears ____
TOTAL SCORE – SECTION C (a) ____ TOTAL SCORE – SECTION C (b) ____ TOTAL SCORE – SECTION A ____ TOTAL SCORE – SECTION B (a & b) ____ TOTAL SCORE – SECTION C (a & b) ____ GRAND TOTAL SCORE ____
2005 The Naturopaths Ltd.20 Village Court Havelock North Hawke’s Bay New Zealand
PRELIMINARY SUMMARY OF MAP ACTIONS To assist your community in maintaining the Flood Insurance Rate Map (FIRM), we have summarized below the previously issued Letter of Map Change (LOMC) actions (i.e., Letters of Map Revision (LOMRs) and Letters of Map Amendment (LOMAs)) that will be affected by the preparation of the enclosed revised FIRM panel(s). 1. LOMCs Incorporated The modification
Dr Somasundaram Sathappan (known as Dr Soma) QUALIFICATIONS : MB BS, (Malaya), University of Malaya, June 1989. Fellowship of the Royal College of Surgeons of Edinburgh, October 1994. Masters in Surgery, National University of Malaysia, June 1996. Member of the Academy of Medicine Malaysia, Oct 2003 WORK EXPERIENCE: Medical internship, General Medicine and Paediatr
CANDIDA QUESTIONNAIRE 
SECTION B: MAJOR SYMPTOMS 