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The Mould Questionnaire: Is Mould Toxicity Affecting You?

Updated: Mar 31, 2023

Do you suffer with chronic illness and malaise? Are you unsure what the cause of your symptoms is? Are you desperate to get your health back on track? Complete our mould questionnaire and find out today if it's mould that may be causing/contributing to your symptoms.

What Is Toxic Black Mould and Why Is It Dangerous?

Moulds are fungi that grow best in warm, damp and humid conditions. As well as in buildings, mould can grow on food such as a variety of different crops, such as corn and various cereals, nuts, spices, dried fruits, apples and coffee beans. Although mould is a normal part of nature, it becomes a problem when toxic black moulds such as ..... start to grow inside your home or areas you spend many hours inside. Mould itself is not dangerous, however, the mycotoxins they produce are extremely detrimental to health. These mycotoxins are known to be toxic to nerves, the skin, liver, gut and kidneys which explains some of the diverse effects that can be seen.


Mould toxicity can profoundly weaken the immune system which then can leave an individual more vulnerable to other opportunistic infections and viruses – such as Epstein Bar Virus, Hepatitis, CMV or HSV which can lie dormant in the body until triggered. Due to its impact on the gut, nutritional deficiencies are common and create vicious cycles of imbalances from which it can be hard to escape.


How Does This Questionnaire Work?

In each category, mark 1 point for each symptom present. At the end of each category you will add the marks and either land in Band 0, 1, 2 or 3. Do this for each category until you add up your band points at the end of the questionnaire.


Category A

  • Brain fog

  • Constant fatigue

  • Runny nose/blow nose often

  • Sneezing often

  • Sinusitis

  • Post-nasal drip

  • Recurring nose bleeds

  • Swollen lymph nodes

  • Shortness of breath

  • Frequent sighing or yawning

  • Heart palpitations

  • Headaches and migraines

  • Hay fever and allergies

  • Eye irritation

  • Blurry vision/changes in vision

  • Dark under-eye circles

  • Sensitivity to sunlight

  • Nervousness/restlessness

  • Low mood/depression

  • Feeling overwhelmed

  • Chronic cough

  • Blood streaked sputum

  • Nasal polyps

  • Coated tongue

  • Sores in the mouth

  • Bumps on the back of throat

  • Oral/vaginal thrush

  • Itchy ear canals

  • Tinnitus

  • Sound sensitivity

  • Skin rashes/ burning /irritated or itchy skin

  • Easy bruising

  • Spider veins

  • Anaemia

  • Protruding veins

  • Lower extremity oedema

  • Chronic sore throats

  • Constant colds and delayed recovery

  • Exhaustion post exercise

  • Frequent static shocks

  • Excessive thirst

  • Insomnia

  • Feeling of internal vibration

  • Dizziness/ vertigo/ drunken feeling

  • Frequent urination

  • Changes in appetite

  • Excessive gas

  • Nausea

  • Bloating

  • Constipation

  • Sweet/ alcohol cravings

TOTAL CATEGORY A BOXES MARKED:

0-4 boxes marked = Band 0

5-9 boxes marked = Band 1

10-15 boxes marked = Band 2

16+ boxes marked = Band 3

Category A total score: ..........


Category B

  • Wheezing

  • Asthma

  • Burning lungs

  • Chronic respiratory infections

  • Nasally sounding voice

  • Plugged or clogged ears

  • Chronic sinusitis

  • Vomiting

  • Alternating diarrhoea and constipation

  • Diarrhoea

  • Irritable bowel syndrome

  • Food sensitivities

  • Chemical sensitivities

  • Abnormal reaction to antibiotics

  • Epstein-Barr virus diagnosis

  • Recurrent yeast infections

  • Recurrent bacterial vaginosis

  • Recurrent athlete's foot

  • Jock itch or toenail fungus

  • Fast heart rate episodes

  • Chest pain

  • Raynaud's syndrome

  • Sleep apnoea

  • Difficulty thinking clearly

  • Disorientation

  • Balance difficulty

  • Slow reflexes

  • Poor coordination

  • Numbness or tingling in extremities

  • Unexplained menstrual changes

  • Overactive bladder

  • Bladder infections

  • React to musty spaces

TOTAL CATEGORY B 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 B total score: ..........


Category C

  • Daily use of sinus sprays/ prescription medication/ neti pots

  • Sinus surgery

  • Chronic inflammatory response syndrome diagnosis (CIRS)

  • MARCoNS diagnosis

  • Peanut allergy

  • Chronic fatigue syndrome

  • Walking difficulty

  • Dysautonomia

  • Postural tachycardia syndrome (POTS)

  • Hearing loss

  • Confusion

  • Dementia

  • Memory loss

  • Tremors and twitching

  • Sarcoidosis

  • Asthma that's difficult to control with medication

  • Lung scarring or nodules

  • Respiratory distress

  • Aspergillosis/ aspergillus intolerance

  • Heart arrhythmia

  • Coagulation abnormalities

  • Arteriovenous abnormalities

  • Churg Strauss Syndrome

  • Histamine intolerance

  • Erythema nodosum

  • Eosinophilic esophagitis

  • Ulcers

  • Gastrointestinal disease

  • Blood in stool

  • Liver pain/swelling/disease

  • Fatty liver

  • Non-alcoholic steatohepatitis

  • Chronic cystitis

  • Chronic kidney disease

  • Kidney pain/swelling

  • Nephritis

  • Chronic pelvic pain

  • Infertility

  • Cancer diagnosis current or previous

  • Mast cell activation syndrome (MCAS)

  • Exposure to water damaged building/ mould

TOTAL CATEGORY C 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 C total score: ..........


Total Mould Illness Risk Results


CATEGORY A SCORE: +

CATEGORY B SCORE: +

CATEGORY C SCORE: =

TOTAL:


0-4 = Not Likely Mould Sickness

5-9 = Possible Mould Sickness

10+ = Probable Mould or Biotoxin Sickness


OTHER THINGS TO CONSIDER: LYME DISEASE, MSIDS, TICK-BORNE CO-INFECTIONS, OTHER ENVIRONMENTAL TOXINS (MERCURY, LEAD, PM2.5, GLYPHOSATE, PESTICIDES, VOCs etc), INTESTINAL PARASITES, CHRONIC VIRAL SYNDROMES, INFECTIONS, FOOD SENSITIVITIES, CVIDS OR IMMUNODEFICIENCY SYNDROMES.


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

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