MoldSense™️ Symptom Index (MSI-65)
65-item, symptom and pattern-recognition instrument for suspected damp-building or mold-related illness.
Fornito daIstruzioni
Use to establish a baseline or after environmental intervention.
It is intended for screening, longitudinal tracking, and clinician communication.
It is not a stand-alone diagnostic test.
Pair with the MoldSense home-risk assessment, VCS, and objective findings when available.
Neurocognitive
Over the past 2 weeks, how much have you been bothered by each symptoms?
Why we created MoldSense™️ Risk Assessment Tools
After decades of treating mold-related illness and investigating contaminated buildings, we witnessed the same frustrating pattern: people bouncing between doctors who didn’t understand mold illness and remediation companies who only focused on the building – never the complete picture.
We Knew There Had To Be a Better Way
That’s why Dr. Andrew Heyman and Larry Schwartz joined forces to create Beyond Mold – America’s first complete solution that addresses both the health and home aspects of mold contamination. Our mission is simple: provide a clear roadmap to help you achieve a life without mold.
A Clear, Science-Based Path to a Healthier Home
Assess
Clean
Maintain
Protect
Your home plays a critical role in your health — especially when mold, moisture, and small-particle contamination are involved. The Beyond Mold For Home pathway gives you a medically informed, step-by-step framework to evaluate your living space, reduce harmful exposures, and maintain a healthy and stable indoor environment.
The MoldSense Symptom Index (MSI)
The MoldSense Symptom Index (MSI) is designed as a structured symptom and pattern-recognition instrument for suspected damp-building or mold-related illness. The MSI-65 is a 65-item survey to establish a baseline or after environmental intervention. It is intended for screening, longitudinal tracking, and clinician communication. It is not a stand-alone diagnostic test. Pair with MoldSense home-risk assessment, VCS, and objective findings when available.
Disclaimer: The MSI is a screening and monitoring instrument. It should be interpreted alongside exposure history, examination, and objective findings.
To learn more about Phase II (Removing contaminants) & Phase III (Maintaining a healthy home) go to beyondmold.com for more educational resources.
Tutte le domande e i risultati possibili
Neurocognitive
Over the past 2 weeks, how much have you been bothered by each symptoms?
1. Brain fog or slowed thinking
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
2. Difficulty concentrating
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
3. Short-term memory problems
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
4. Word-finding difficulty
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
5. Feeling mentally overwhelmed
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
Fatigue / Energy
Over the past 2 weeks, how much have you been bothered by each symptoms?
6. Unusual fatigue
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
7. Waking unrefreshed
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
8. Daytime sleepiness
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
9. Worse after exertion
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
10. Reduced stamina
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
Upper Airway / ENT
Over the past 2 weeks, how much have you been bothered by each symptoms?
11. Nasal congestion
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
12. Sinus pressure
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
13. Post-nasal drip
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
14. Sneezing or irritation
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
15. Throat clearing or hoarseness
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
Lower Respiratory
Over the past 2 weeks, how much have you been bothered by each symptoms?
16. Cough
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
17. Shortness of breath
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
18. Chest tightness
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
19. Wheezing
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
20. Sensitivity to air or odors
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
Eye / Sensory
Over the past 2 weeks, how much have you been bothered by each symptoms?
21. Light sensitivity
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
22. Blurred vision
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
23. Eye irritation
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
24. Visual overload
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
25. Sensory sensitivity
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
Headache / Vestibular
Over the past 2 weeks, how much have you been bothered by each symptoms?
26. Headaches
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
27. Head pressure
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
28. Dizziness
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
29. Balance issues
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
30. Motion sensitivity
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
Musculoskeletal
Over the past 2 weeks, how much have you been bothered by each symptoms?
31. Muscle aches
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
32. Joint pain
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
33. Morning stiffness
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
34. Generalized pain
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
35. Migratory pain
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
GI
Over the past 2 weeks, how much have you been bothered by each symptoms?
36. Bloating
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
37. Abdominal discomfort
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
38. Nausea
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
39. Diarrhea
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
40. Constipation
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
Autonomic
Over the past 2 weeks, how much have you been bothered by each symptoms?
41. Temperature dysregulation
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
42. Heat intolerance
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
43. Palpitations
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
44. Lightheaded on standing
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
45. Thirst or urination changes
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
Mood / Sleep
Over the past 2 weeks, how much have you been bothered by each symptoms?
46. Anxiety or wired feeling
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
47. Irritability
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
48. Low mood
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
49. Sleep disturbance
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
50. Non-restorative sleep
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
Skin / Immune
Over the past 2 weeks, how much have you been bothered by each symptoms?
51. Rashes or itching
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
52. Sensitivity to foods/meds
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
53. Flu-like feeling
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
54. Sore throat or glands
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
55. Feeling better away from certain buildings
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
Exposure Pattern
Over the past 2 weeks, how much have you been bothered by each symptoms?
56. Worse in musty or damp spaces
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
57. Improves when away 48 hours
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
58. Triggered by odors
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
59. Worse with humidity
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
60. Symptoms return on re-exposure
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
Functional Impact
Over the past 2 weeks, how much have you been bothered by each symptoms?
61. Work impairment
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
62. Reduced physical activity
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
63. Household limitation
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
64. Social limitation
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
65. Quality of life impact
Select one option:
- Not at all
- A little
- Moderately
- Quite a bit
- Extremely
Risultati possibili
Very High Risk (140+ points)
Very high burden; prioritize clinical review and function impact.
Disclaimer: The MSI is a screening and monitoring instrument. It should be interpreted alongside exposure history, examination, and objective findings.
Minimal Risk (0–24 points)
Low current burden; correlate with exposure history.
Disclaimer: The MSI is a screening and monitoring instrument. It should be interpreted alongside exposure history, examination, and objective findings.
Mild Risk (25-49 points)
Mild symptom burden; monitor trajectory over time.
Disclaimer: The MSI is a screening and monitoring instrument. It should be interpreted alongside exposure history, examination, and objective findings.
Mold-pattern Research Flag
Criteria
Exposure-pattern subtotal ≥ 10 AND
At least 4 symptom domains positive
High Risk (90-139 points)
High multisystem burden across one or more domains.
Disclaimer: The MSI is a screening and monitoring instrument. It should be interpreted alongside exposure history, examination, and objective findings.
Moderate Risk (50-89 points)
Meaningful symptom burden across one or more domains.
Disclaimer: The MSI is a screening and monitoring instrument. It should be interpreted alongside exposure history, examination, and objective findings.