NO

YES

1

Have you, at any time in your life taken a course of antibiotics ?

0

3

2

Have you, at any time in your life either:
   taken antibiotics continuously for a month or more or
   taken four or more courses of antibiotics within 12 months ?

0

3

3

Are your symptoms worse on damp, muggy days or in mouldy places ?   

0

3

4

Do you crave sugar ?  

0

3

5

Do you have a feeling of being "drained" ?

0

                                   - occasional or mild 

1

                                         - frequent or moderately severe

2

                                   - severe or disabling

3

6

Are you bothered with vaginal burning, itching or discharge

(do you have similar symptoms from the penis) ?

0

                                   - occasional or mild

1

                                   - frequent or moderately severe

2

                                   - severe or disabling

3

7

Are you bothered by burning, itching or tearing of eyes ?

0

                                   - occasional or mild 

1

                                   - frequent or moderately severe

2

                                   - severe or disabling

3

total score :