No 4-Point PIP Descriptors Form

Please only complete this form if you are certain you were not awarded any 4 point or higher daily living descriptors at your last assessment. If you are unsure, please do not complete it.

Nickname

Invalid Input

Your responses will be published online. Please don’t use your real name or an online name you can be identified by.

Age*

Invalid Input

If you don’t want to give your precise age, give a range, such as 55-60.

Please choose one of these options that most nearly matches your main health condition*

Physical health

Mental health

Both physical and mental health

Other

Invalid Input

Please list the main condition(s) that affect your daily living e.g. arthritis, COPD, depression*

Invalid Input

Which rate of PIP daily living component do you get?*

StandardEnhanced Invalid Input

Do you score any 4 point descriptors?*

Yes (please don’t continue with this form)No Invalid Input

How likely do you think it is that you will score at least one 4-point daily living descriptor at your next review?*

Invalid Input

We know it’s difficult, but could you describe in a few sentences, what tasks you struggle with on a day-to-day basis?*

Invalid Input

How much income do you expect to lose if the Green Paper cuts are imposed and what effect would this have on you?*

Invalid Input

What problems would you expect if you tried moving into work, with support from a work coach?*

Invalid Input

Anything else you would like to tell us:

Invalid Input

I understand my form will be published immediately online. Invalid Input

Invalid Input

No 4-Point PIP Descriptors Form

Information

Members

Terms of Use

PIP, ESA & UC are changing.

Don't get left behind!

Over 110,000 subscribers trust our FREE
fortnightly newsletter to keep them informed and prepared.