Years of fatigue, brain fog and pain get labelled stress, anxiety, or ageing. If a water-damaged building is behind yours, there is a measurable sign. This free mold toxin test is developed on the Visual Contrast Sensitivity (VCS) and further Mold exposure specific assessment to check and takes about fifteen minutes to complete.
As seen on
Common symptoms associated with biotoxin illness
of the population carries HLA genes making them susceptible to biotoxin illness
screening accuracy when VCS test and symptom clusters are both positive
validated symptoms organized into 13 diagnostic clusters by Shoemaker et al.
to complete the full visual contrast sensitivity test and symptom assessment
The Protocol
Four steps, all in your browser. The free VCS test plus a symptom questionnaire, with nothing to install, no account, and no kit in the post.
A 3-step calibration determines your screen's PPI and gamma — essential for displaying gratings at the correct contrast levels for valid testing.
Test each eye independently. For each grating patch, identify the tilt direction (vertical, +15°, or −15°) or select "Can't See." Progress through 5 spatial frequencies × 9 contrast levels.
Rate 51 questions across 9 domains — fatigue, cognition, pain, neurology, vision, respiratory, GI, autonomic function, and exposure history. Dual frequency×severity sliders.
Instant results: visual CSF curves, 13-cluster symptom analysis, exposure pattern identification, and personalized next steps with biomarker testing recommendations.
Features
The only tool combining calibrated VCS testing with comprehensive symptom mapping and pattern analysis.
The FACT-based VCS test measures contrast sensitivity at 5 spatial frequencies. Biotoxin-related deficits concentrate at 6 and 12 cycles per degree — the same test used by CIRS practitioners worldwide.
Validated 13-cluster questionnaire covering all 37 Shoemaker-identified symptoms plus HPA axis, chemical sensitivity, and exposure history. Dual frequency×severity scoring for treatment tracking.
Identifies likely exposure patterns — mold/mycotoxin, Lyme/tick-borne, post-viral, or heavy metal. Maps your symptoms to the biotoxin pathway and recommends targeted biomarker testing.
Built-in gamma correction and PPI calibration ensures your gratings are rendered at exactly the right spatial frequency and contrast — critical for valid at-home testing.
Retake the test over time to track your visual contrast sensitivity and symptom burden. VCS responds to treatment within 2 weeks — making it a powerful monitoring tool.
Risk-stratified recommendations: routine monitoring, provider consultation, or specific laboratory tests (C4a, TGF-β1, MMP-9, MSH, VIP) based on your results.
The Science
The FACT (Functional Acuity Contrast Test) protocol was developed by Arthur P. Ginsburg, Ph.D. and validated by Dr. Ritchie Shoemaker across tens of thousands of patients from 1997–2025.
Biotoxins cause VCS deficits through capillary hypoperfusion — C4a-driven vessel constriction reduces blood flow to the optic nerve within 24–36 hours of exposure, preferentially damaging magnocellular pathway neurons at mid-range spatial frequencies (6–12 cpd).
VCS deficits are rapidly reversible with treatment (~65% improvement within 2 weeks of cholestyramine therapy) and decline within 3–5 days of re-exposure — making this test a powerful monitoring tool throughout treatment.
Research
The screening this site implements rests on published work, not opinion. These are the papers that matter most to what the test measures and why.
Controlled study showing that inhaled mold spores trigger innate immune activation in the hippocampus, reducing neurogenesis and impairing memory. It offers a mechanism for the cognitive and emotional symptoms people report after mold exposure, and it held for non-toxic spore fragments as well as toxic ones.
Gene expression study in CIRS patients who had not responded to the standard protocol. Differential expression across immune regulators shifted alongside clinical improvement, supporting a measurable biological basis for the illness rather than a symptom label.
Reviews biotoxin exposure from water-damaged buildings, the chronic multi-system symptom picture that follows, and the case for screening early rather than after years of misdiagnosis. It cites this screening tool by name.
Read the paperFAQ
The Visual Contrast Sensitivity (VCS) test measures your ability to detect fine visual patterns at different contrast levels. Biotoxins — including mold mycotoxins — impair the optic nerve's ability to process mid-range spatial frequencies (6–12 cycles per degree), producing a characteristic pattern of visual deficits. The VCS test has ~92% sensitivity for detecting CIRS-pattern illness and a <1% false positive rate in unexposed populations.
Chronic Inflammatory Response Syndrome (CIRS) is an acquired inflammatory condition triggered by exposure to biotoxins from water-damaged buildings, tick bites, dinoflagellates, or other sources. In genetically susceptible individuals (~24% of the population), the immune system cannot clear biotoxins, leading to a self-perpetuating inflammatory cascade affecting virtually every body system.
No. This is a wellness screening tool only and cannot diagnose any condition. Nothing on this site constitutes medical advice or creates a provider-patient relationship. A positive screening result means your results are consistent with patterns commonly seen in biotoxin-related illness — it does not confirm a diagnosis. Consult a qualified healthcare provider for any health concerns.
When both the VCS test and symptom questionnaire are positive, the combined screening accuracy is 98.5% based on Shoemaker's clinical data across tens of thousands of patients. VCS alone achieves ~92% sensitivity with <1% false positive rate. False negatives are more common in teenagers, visual professionals (artists, photographers), and those with naturally high baseline contrast sensitivity.
A computer, tablet, or phone with a reasonably modern screen (130+ PPI recommended), a quiet room with dim ambient lighting, and corrective glasses or contacts if you normally wear them. The built-in calibration process adjusts for your screen's specific gamma and PPI to ensure valid results.
You receive a detailed report showing your visual contrast sensitivity results (per-eye CSF curve), symptom cluster analysis, exposure risk profile, and pattern analysis. Risk-stratified next steps include suggested laboratory tests to discuss with a provider and links to practitioners trained in Shoemaker Protocol.
Yes. Black mold, often Stachybotrys chartarum, produces mycotoxins that can cause respiratory irritation, headaches, fatigue, and cognitive symptoms such as brain fog. In genetically susceptible people (roughly 24% of the population), mold exposure can trigger Chronic Inflammatory Response Syndrome (CIRS), a self-perpetuating inflammatory illness affecting multiple body systems. The VCS test on this site screens for the neurological effects of biotoxin exposure.
See the full list of mold toxicity symptomsSmall patches under about 10 square feet on hard, non-porous surfaces can often be cleaned with proper protective equipment. Mold on drywall, or any area larger than roughly 10 square feet, usually requires removing the affected material and professional remediation. The most important step is fixing the moisture source first, because mold returns if the underlying water problem is not corrected.
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13 min readYour score arrives the moment you finish, alongside the symptom clusters that came back positive and where your contrast sensitivity sat against the healthy range. Retake it in a few weeks and you can see whether leaving a room, fixing a leak, or starting treatment has moved anything.
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