Jianne
You don't have to use the tick boxes if they do not represent the problems you with this activity but you do need to answer them in the comments box.
Can you wash yourself with the use of a suitable aid of appliance?
Can you wash yourself with assistance from someone else?
Remember you need to complete each activity reliably and on the majority of days so factor this in to your replies.
Gordon
Nothing on this board constitutes legal advice - always consult a professional about specific problems