Worked example by condition

PIP answers for long COVID

A worked example showing how each of the 12 PIP activities can be described for someone with long COVID. Every answer is written in the first person, in the plain wording assessors look for, and each one weaves in the reliability factors that decide how an activity scores.

How long COVID affects a PIP claim

What makes long COVID awkward to put on a form is that it hits your body and your brain in the same breath. On the physical side there is the breathlessness that arrives after a flight of stairs or two minutes on your feet, the heart that pounds and races the moment you stand up, and the greying vision and lightheadedness that go with it. Alongside that runs the cognitive side: brain fog, a memory that will not hold anything complicated, and the word-finding problem where you stop mid-sentence because the word you want has simply gone. Neither half is visible to look at, and describing only one of them leaves an assessor with half the picture.

That combination is what marks long COVID out from fatigue on its own. It is not just that tasks are tiring. It is that being upright sets off your breathing and your heart, so you have to sit to do things other people do standing, and that a conversation or a letter can defeat you even sitting down. Then there is the payback. You can have a genuinely good hour, get several things done, and spend the next two or three days paying for it with worse breathlessness, worse fog and feeling ill. Many people call this a crash, and it is the single thing most often left off a form, because the form asks what you can do and the crash is what happens afterwards.

This is exactly why the reliability rules matter. An activity only counts as something you can do if you can do it safely, to an acceptable standard, repeatedly and in a reasonable time. If you can only shower by sitting down, if a wash takes you half an hour with rests in the middle, if you can manage something once but not again for three days, or if you cannot take in what you were told at an appointment, then you cannot reliably do it, and that is what your answers need to show. Describe your worst and most common days rather than your best hour. The DWP always makes the final decision, but setting out the breathlessness, the fog and the days of payback accurately gives your form the strongest chance of being understood.

How your health condition affects youPIP2 · Q6
6. Washing and bathing
Does your condition affect you washing and bathing? (Put a cross in one box below)
✓ Yes
Tell us about the difficulties you have with washing and bathing and how you manage them.
I cannot wash and bathe properly on my own since I developed long COVID, because standing up in a shower brings on breathlessness and a racing heart within a minute or two. As soon as I am upright for any length of time my heart pounds, my chest tightens, my vision greys at the edges and I feel as though I am going to faint, so I have bought a shower stool and I sit down for the whole wash. Even sitting, washing my hair leaves me gasping, because holding my arms above my head is enough on its own to set off the breathlessness, and I have to stop part way and wait for my breathing to settle before I can rinse. A shower that used to take me five minutes now takes closer to half an hour with the rests in between. The worst part is what comes afterwards. If I push through and wash properly one day, I am usually flattened for the two or three days that follow, so I manage a full wash every other day at best and keep a bowl and flannel by the sink for the days when I cannot face the bathroom at all. Without the stool I could not wash at all safely, and even with it I cannot do it repeatedly or in a reasonable time on most days.
★ Suggested descriptor · 6b · 2 points
The shower stool is an aid the form counts; say plainly what being upright does to your breathing and heart, and how many days the payback costs you.
How your health condition affects youPIP2 · Q9
9. Talking, listening and understanding
Does your condition affect you talking, listening and understanding? (Put a cross in one box below)
✓ Yes
Tell us about the difficulties you have with talking, listening and understanding and how you manage them.
Long COVID has affected my speech and my ability to take in what people say in a way I never expected. The main problem is finding words. Part way through a sentence I lose the word I am reaching for, even an ordinary everyday word, and I either stop dead or put the wrong word in, so the person I am talking to has to work out what I meant. Being breathless makes it worse, because I run out of air before the end of a sentence and have to break what I am saying into short pieces. Listening is just as hard. If someone gives me more than one instruction at a time, or explains something detailed such as a hospital appointment, a call from the council or my treatment options, it goes in and slides straight back out again. I lose the thread after a few minutes and end up nodding along without having understood. My partner now comes to all my medical appointments and phone calls with me, because I cannot follow or hold on to complicated information on my own and I have agreed to things I did not understand. He writes down what was said and goes through it with me afterwards, usually more than once. Simple everyday conversation I can manage, slowly. It is anything complicated that I cannot take in, and it is far worse in the afternoons and in the days after I have overdone things.
★ Suggested descriptor · 9c · 4 points
Losing your words and losing the thread belong here; naming the person who has to come to appointments with you is what shows the support you need with complicated information.
The other activities

What to cover for each one. Your paid form writes the full answers for you.

Q3

Preparing food

What to mention

Describe what standing at a hob and worktop does to your breathing and heart rate, and how soon you have to sit down or give up. Mention the perching stool, pre-chopped ingredients or microwave you now rely on, and any real safety risk from feeling faint or foggy near a hot pan. Explain that cooking one meal can cost you the rest of the day, so you cannot do it repeatedly or in a reasonable time.

Q4

Eating and drinking

What to mention

This one is only about getting food from the plate to your mouth, chewing and swallowing it, so the cooking side belongs at question three. What can count is needing someone to remind or encourage you to eat on the days when fog means you simply do not notice you have missed meals, or being so breathless that you have to put your knife and fork down part way through. Altered taste or smell on its own does not usually reach it. If a meal in front of you is genuinely fine, leave this one alone.

Q5

Managing your treatments

What to mention

Explain how brain fog makes you lose track of doses, inhalers or checking your heart rate, and mention the dosette box, phone alarms or family reminders you depend on. Describe what actually happens without those prompts, such as missed doses or taking the same one twice. Cover any breathing exercises, pacing plan or rehab you have been asked to keep up, and roughly how much of your week that takes.

Q7

Using the toilet and managing incontinence

What to mention

This covers getting on and off the toilet, cleaning yourself afterwards and coping with any bladder or bowel accidents. What can count with long COVID is feeling faint or breathless as you stand up from the seat, so you need a rail or a hand to steady you, or leaving it too late because getting there takes so long on a bad day. If your bladder has been less reliable since you were ill, say how often that happens and what you use to manage it. If none of that applies to you, leave this one alone.

Q8

Dressing and undressing

What to mention

Describe how bending to reach socks and shoes leaves you breathless and lightheaded, and how lifting your arms to pull on a top sets your heart racing. Mention that you sit on the bed to dress, choose clothes without fastenings, or need someone to help on bad days. Explain how long it takes, and that in the days after you have overdone things you stay in what you slept in.

Q10

Reading

What to mention

Explain that brain fog means you read the same paragraph several times and still cannot say what it said, so official letters and anything detailed do not stay in your head. Mention who reads important post with you or explains it afterwards, and describe how much worse this gets later in the day. Keep it about taking in and holding on to information rather than your eyesight.

Q11

Mixing with other people

What to mention

Describe how quickly talking to people exhausts you, and how losing your words in front of others leaves you embarrassed and avoiding company. Mention any encouragement or company you need to face a social situation at all, and how often you cancel because you are crashing or dreading the payback. Keep this to how you cope with people, not the physical effort of getting there.

Q12

Managing money

What to mention

Explain how brain fog affects everyday sums, bills and keeping track of what has gone out, and give real examples such as a missed payment or paying the same thing twice. Mention who checks your account with you or takes on the bigger financial decisions. Make clear whether you could manage complicated money matters reliably on your own on a normal day, not just your best one.

Q13

Planning and following a journey

What to mention

Describe how a journey has to be planned around where you can sit down and how you would get home if you crashed, and how fog makes you miss stops or lose your way on routes you used to know well. Mention anyone who has to come with you and exactly why. Explain any fear of fainting or of being stranded that stops you going out on your own.

Q14

Moving around

What to mention

Say how far you can actually get on a typical day before breathlessness or a pounding heart forces you to stop, and how long you need before you could move again. Mention any stick, rollator or wheelchair you use, remembering that a wheelchair does not count as an aid for this question, so describe how you manage standing and walking without it. The heart of this one is repetition: doing it once, slowly, is not the same as being able to do it again and again.

Your own answers, for every activity

The tips above are general pointers. Your paid form gives you a full, ready-to-copy answer for all 12 activities, written from your exact conditions, medication, aids and bad days, not a general example. This is a worked example for long COVID; yours is written for you. £99.99 one-off.

How to use this example

This is a worked example, not a script. It shows one honest way a person with long COVID might describe their worst and most common days, so you can see the level of detail and the plain wording that assessors are trained to look for. Please do not copy it word for word. Your own answers should reflect your long COVID, your own breathlessness and fog, the aids you actually use and the help you actually need or go without, because that is what the assessment is about and that is what makes an answer ring true.

Three things make a long COVID answer strong. Put both halves of the condition on the page, the breathing and heart symptoms and the cognitive ones, because leaving either out understates what you live with. Say what happens after the activity, so the crash and the days of payback are written down and not just implied. And keep coming back to whether you could do the task repeatedly and in a reasonable time, since a good hour is not the same as being able to do something reliably.

Some of the activities will not apply to you at all, and that is fine. Being honest about what long COVID does not change makes the difficulties you do describe more believable, so there is no need to stretch every question. If you would rather start from your own words, tell us about your health and we will write your answers from your own conditions, in the same first-person style, ready for you to read, edit and copy onto your PIP2 claim form or AR1 review form.

K
Karol Slusarczyk
Founder, FillMyPIP · t/a Benefits Expert · ICO:00014179042

I have spent years helping people describe their conditions accurately on PIP forms, and I built FillMyPIP from that experience. I wrote this worked example to show, honestly, the kind of detail and wording that helps an assessor understand a real day with long COVID. I am not a solicitor, a doctor or a DWP employee, and this is guidance, not legal or medical advice.

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