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PIP2 practice worksheet

A simple sheet to help you gather your thoughts for each activity before you write on your real form. Print it, fill it in by hand, then use your notes as a draft when you complete your actual PIP2.

Please read first. This is an unofficial practice worksheet made by FillMyPIP to help you plan your wording. It is not the real DWP PIP2 form and it cannot be sent to anyone. You must complete your actual PIP2 form, which the Department for Work and Pensions sends to you, and return that. Use this sheet only as a rough draft for your own notes.
Activity Does it affect you? (Y/N) Notes: what you cannot do, help or aids you need, bad days, how long it takes
Q3 Preparing food
Q4 Eating and drinking
Q5 Managing your treatments
Q6 Washing and bathing
Q7 Using the toilet
Q8 Dressing and undressing
Q9 Talking, listening and understanding
Q10 Reading
Q11 Mixing with other people
Q12 Managing money
Q13 Planning and following a journey
Q14 Moving around (note how far you can walk)

How to use this worksheet

Work through one activity at a time and be honest about a typical day, not your best day. For each one it helps to jot down a few things:

  • What you cannot do on your own, or can only do with difficulty.
  • Any help you need, whether that is another person, a piece of equipment, or someone to prompt, encourage or supervise you.
  • Bad days and how often they happen, so the reader understands how the task goes across the week, not just at your best.
  • How long the task takes and whether you need to stop and rest.
  • Whether you can do it safely, including any falls, burns or accidents.

Once your notes feel complete, copy them into your real PIP2 form in your own words. Keep this sheet with any evidence you plan to send, such as letters from your GP or specialist. There is no need to send this worksheet itself.

If writing twelve full answers feels like a lot, FillMyPIP can turn your notes into ready-to-copy wording for every activity on the form.

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