Question Sheets  
 
Blood Sugar Test

















Candida Long Questionnaire

Candida Short Questionnaire

Blood Sugar Questionnaire

Syndrome X Questionnaire

    

Enter a number after the symptoms listed below ranging from 0 to 3. Zero (0) represents symptom "not present". Three indicates that the symptom is present in a severe form.

 

0

1

2

3
Abnormal craving for sweets

Afternoon headaches
Consume alcohol
Allergies - tendency to asthma, hay fever, rashes
Awaken after a few hours of sleep - unable to get back to sleep
Aware of breathing heavily
Bad dreams
Bleeding gums
Blurred vision
Brown spots or bronzing of skin
Bruise easily, "black and blue spots"
Butterfly stomach, cramps Indecision
Can't start in morning before coffee
Can't work under pressure
Chronic fatigue
Chronic nervous exhaustion
Convulsions
Crave candy or coffee in afternoon
Depressed
Dizziness, giddiness or lightheadedness
Drink more than 3 cups of coffee or cola daily
Get hungry or feel faint unless eating frequently
Eat when nervous
Fatigue is relieved by eating
Fearful
Get "shaky" when hungry
Hallucinations
Hand tremors (or trembles)
Heart palpitates if hunger is prolonged
Highly emotional
Nibble between meals because of hunger
Insomnia
Irritable before meals
Lack of energy
Magnify insignificant events
Moods of depression, "blues" or melancholy
Poor memory or ability to concentrate
Reduced initiative
Sleepy after meals
Weakness, dizziness
Worrier, feel insecure
Feel better after 10 am snack than before
Symptoms come before breakfast


   

Total Score:



A score of less than 20 is within the normal limits. A higher score is presumptive evidence of possible carbohydrate intolerance.