Mold Questionnaire

A significant portion of my client work is addressing a very common yet overlooked ‘root cause’, the bioaccumulation of Mold & Mycotoxins.

Mold & Mycotoxin Toxicity is a growing epidemic and a Great Mimicker for many chronic illnesses. If you or someone you know are dealing with a chronic condition or mystery illness, Mold & Mycotoxins may be an underlying root cause worth testing for.

Mold is very serious when left unidentified/untreated as it produces different types of Mycotoxins, some of which are Group 1 Carcinogens. In my formal training, one of the instructors, a Functional Medicine Doctor, said to our group... “if only all cancer patients we’re tested for mold, we’d be having different outcomes…”

I know Mold Toxicity firsthand. I tested for high levels and not once suspected it as a root cause as my symptomatology didn’t fit the typical symptoms such as CIRS or MCAS. It was overlooked by 4 Naturopathic Doctors and 1 Functional Medicine Doctor - who I hired and spent $10,000’s over many years - all to no avail. I have onboarded many clients who have spent upwards of $20K with NDs or FMDs - all to no avail - only to find out through lab testing with me, that Mold is one of the major contributing root causes driving their condition.

I successfully detoxed Mold which was difficult (and expensive). I will continue to test each year to ensure my efforts continue to work. I follow an antifungal diet and still incorporate most of the supplement strategies from my personalized Mold Protocol. I do this to prevent it from returning. And it was one of the driving forces in my decision to remove my Breast Implants as a colleague of mine who does Live Blood Analysis said all her patients with Breast Implants have high levels of Mold in their blood. Mold thrives in an opportunistic terrain - one of chemical and heavy metal toxicity, poor detoxification and drainage, nutritional deficiencies, stress, trauma, gut dysbiosis and intestinal permeability.

Below is the Crista Mold Questionnaire that you can review and see if your symptomatology & scores present Mold Toxicity as a possible root cause. If you’re dealing with a chronic condition or mystery illness, other possibilities for consideration include; Lyme disease, tick-borne coinfections, environmental/heavy metal toxicity, parasites. If you are suspicious of Mold being at the root of your health issues, please reach out to me for a free consultation. I’m offer all potential new clients a complimentary Zoom call - for serious inquiries only.

Healthy Regards,

Angela

Crista Mold Questionnaire

check all symptoms experienced in the past 3-6 months

This tool is intended as a clinical information aid, and is not intended to diagnose or treat disease. Symptoms listed have been reported in mold illness patients. Not all symptoms have been proven in studies.

Total Category 1 Boxes Marked

  • 0-4 boxes marked = Score 0

  • 5-9 boxes marked = Score 1

  • 10-15 boxes marked = Score 2

  • 16+ boxes marked = Score 3

Category 1 Score _________

Total Category 2 Boxes Marked

  • 0-2 boxes marked = Score 0

  • 3-5 boxes marked = Score 1

  • 6-9 boxes marked = Score 2

  • 10+ boxes marked = Score 3

Category 2 Score _________

Total Category 3 Boxes Marked

  • Score 1 for each box marked.

  • Boxes marked and score will be the same for this category.

Category 3 Score _________

Total Mold Risk

Category 1 Score + Category 2 Score + Category 3 Score = TOTAL MOLD RISK

10+ Probable Mold / Biotoxin Sickness

Category 1

  • Brain fog

  • Feel tired all the time

  • Frequent runny nose

  • Blow your nose often

  • Sneezing

  • Sinusitis

  • Post-nasal drip

  • Nose bleeds

  • Swollen glands

  • Shortness of breath

  • Frequent yawning or sighing

  • Heart palpitations

  • Headaches

  • Hay Fever

  • Sensitivity to light

  • Nervousness / can’t settle

  • Feeling overwhelmed

  • Chronic dry cough

  • Irritated lungs

  • Blood-streaked mucous

  • Nasal polyps

  • Coated tongue

  • Sores in the mouth

  • Bumps on the back of throat

  • Thrush

  • Sore or itchy ear canals

  • Ringing in the ears

  • Bothered by loud noises

  • Skin rash

  • Burning or itchy skin

  • Eye irritation

  • Blurry vision

  • Increased thirst

  • Trouble sleeping

  • Easy bruising

  • Spider veins

  • Bothered by tags or seems on clothing

  • Anemia

  • Protruding veins on limbs

  • Lower extremity edema

  • Clear your throat often

  • Sore throat

  • Frequent colds

  • Delayed recovery from colds

  • Exhausted from exercise

  • Frequent static shocks

  • Frequent change in vision

  • Low mood or depressed

  • Feeling of internal vibration

  • Dizziness

  • Vertigo

  • Drunken feeling

  • Frequent urination

  • Yeast infection

  • chnage in appetitie

  • Intestinal gas

  • Nausea

  • Feeling bloated

  • Constipation

  • Crave sweets

  • Crave alcohol

  • Allergies

  • Dark circles under eyes

Category 2

  • Wheezing

  • Asthma

  • Burning lungs

  • Recurrent respiratory infections

  • Migraine

  • Allergies aren’t well controlled by medication

  • Voice sounds nasally

  • Plugged or clogged ears

  • Vomiting

  • Alternating constipation/diarrhea

  • Diarrhea

  • Irritable bowel

  • Food sensitivities

  • Chemical sensitivities

  • Chemical sensitivities

  • Abnormal reaction to antibiotics

  • Epstein-Barr Virus

  • Recurrent yeast infections

  • Bacterial vaginosis

  • Recurrent athletes foot, jock itch or toenail fungus

  • Peeling/sloughing skin

  • Episode of fast heart rate

  • Chest pain

  • Raynaud’s syndrome

  • Chronic sinusitis

  • React to musty spaces

  • Non-obstutive sleep apnea

  • Difficulty thinking clearly

  • Disorientation

  • Balance issues

  • Slow reflexes

  • Incoordination

  • Numbness or tingling

  • Nerve pains

  • Unexplained menstrual changes

  • Overactive bladder

Category 3

  • Daily use of sinus spray, sinus RX, or Neti Pot

  • Sinus surgery at any time in your life

  • CIRS

  • MARCoNS

  • Peanut Allergy

  • Chronic Fatigue Syndrome

  • Difficulty walking

  • Dysatonomia

  • Postrual Tachcardia Syndrome

  • Hearing loss

  • Confusion

  • Dementia

  • Memory loss

  • Tremors

  • Sarcoidosis

  • Asthma that’s difficult to control with medication

  • Idiopathic pneumonitit

  • Lung scarring or nodules

  • Respiratory distress

  • Aspergillosis

  • Arrhythmia

  • Coagulation abnormalities

  • Erythema nodosum

  • Eosinophilic esophagitis

  • Ulcer

  • Non-celiac intestinal disease

  • Blood in stool

  • Cyclical vomiting syndrome

  • Liver pain / swelling

  • Fatty liver

  • Non-alcoholic steatohepatitis

  • Interstitial cystitis

  • Kidney pain / swelling

  • Churg Strauss Syndrome

  • Histamine Intolerance

  • Chronic pelvic pain

  • Infertility

  • Hepatocellular carcinoma

  • Previous or current cancer diagnosis

  • Mast Cell Activation Syndrome

  • Exposure to water damaged building any time in your life

  • Exposure to mold

  • Positive Shoemaker tests

  • Kidney disease

  • Nephritises

Angela Kadin