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Candida, Gut and Hormonal Health Questionnaires

SIGNS OF OESTROGEN DOMINANCE

Do you experience any of the following? - Low sex drive, headaches and migraines, allergy symptoms, constipation and bloating.

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SIGNS OF OESTROGEN DOMINANCE

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SIGNS OF HORMONAL IMBALANCE

Are you struggling to lose weight, thinning hair, having sleep issues, anxiety or mood swings? Take this quiz.

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Once submitted, book a chat session to discuss the results.

SIGNS OF HORMONE IMBALANCE

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YOUR GUT HEALTH AND YOU

This form is not designed to diagnose but to assess your gut health. Please tick the appropriate answer which best describes what you are experiencing. Be sure to answer all the questions for a complete analysis.

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Once submitted, book a chat session to discuss your results.

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Are you taking any prescription medication or over the counter drugs?
Do you have thyroid issues or sluggish metabolism?
Are you often tired and experience low energy?
Frequent diarrhoea or loose stools?
Any seasonal allergies?
Do you struggle with anxiety, sleep disorders, depression, or foggy memory?
Skin conditions: Acne, Rosacea, Eczema
Cravings for sweets, bread?
Do you get colds, flus, or allergy attacks more than once a year?
Struggles with candida, yeast, scaly scalp conditions, coated tongue?
Are you experiencing any food sensitivities?
Do you have thyroid issues?
Have you been diagnosed with Psoriasis or Seborrheic Dermatitis?
Bouts of Constipation?
Do you have high levels of stress?

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Candida Questionnaire and Score Sheet

Did you know that an overgrowth of yeast, like Candida, can wreak havoc on your health? According to the Yeast Connection Handbook, this common issue can lead to a range of problems from digestive discomfort and fatigue to persistent skin issues and brain fog.

Your gut health plays a crucial role in keeping yeast in check. A balanced gut flora not only supports digestion but also boosts your immune system and enhances overall well-being. Prioritizing a healthy diet, rich in probiotics and low in refined sugars, can help maintain this balance and keep yeast overgrowth at bay. Remember, a happy gut is a happy you

Date
Birthday
1. Have you ever taken a prolonged course of antibiotics?
2. Have you had recurrent yeast infections (vaginal, oral thrush, etc?)
3. Have you ever experienced persistent fatigue or lethargy?
4. Do you have a history of digestive issues (e.g., bloating, gas, diarrhoea, constipation)?
5. Have you experienced frequent headaches or migraines?
6. Do you crave sweets and sugary foods?
7. Have you had frequent sinus infections or respiratory issues?
8. Do you have skin problems (e.g., rashes, itching, eczema, psoriasis, dandruff, dermatitis)?
9. Have you experienced mood swings, anxiety, or depression?
10. Do you have difficulty concentrating or suffer from "brain fog"?
11. Do you consume a diet high in sugar and refined carbohydrates?
12. Do you consume alcohol regularly?
13. Do you eat fermented foods (e.g., yoghurt, sauerkraut, kombucha) regularly?
14. Do you use oral contraceptives or hormone replacement therapy?
15. Do you have a history of chronic stress?
16. Do you experience frequent bloating or gas?
17. Do you have a white coating on your tongue?
18. Do you experience recurring urinary tract infections?
19. Do have joint or muscle pain?
20. Have you noticed unexplained weight gain or difficulty losing weight?
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