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PIP descriptors self-logging template

February 14, 2014

So I started looking into whether I could claim PIP, and it turns out that because I have a fluctuating condition, the answer to this question is actually quite hard to work out! On my very worst days, I would qualify for both parts, and the higher payment for the daily living activities bit, but on my best days I score no points at all. Also, the rules around fluctuating conditions seem to be really complicated, and require you to know really quite precisely which category you fit into for how much of the time.

Also, the information I found from the CAB said, for fluctuating conditions, that it could be useful to keep a diary for a week or longer to gather evidence about how your abilities change over time, and how the different percentages work out.

Because I’m on a monitoring kick at the moment, I thought hey, this would be really useful to know, it’d only take me an hour or so to knock up a form to record it all, and only a little longer to make it into a template others can easily copy.

So, I did a template which can easily be copied. Here’s the description text from the beginning of the form, so you can see without clicking the link where I got my info from, and what the steps are to copy this over for your own use:

This form is created to help with repeated daily information gathering that is necessary for some PIP applications for fluctuating conditions. If you only need to complete these descriptors once, then it’s unlikely to be worth your time setting this up.

>>> SOURCES <<<

PIP descriptors copied on 13/02/14 from

Information on fluctuating conditions:

Information on carrying out activities reliably and the use of aids and appliances:

The general CAB page on PIP with more information is here:

All questions are marked as required, to help you avoid accidentally missing some descriptors and ending up with incomplete data.


You need to complete two very simple steps to copy this form to your Drive folder and change the sharing permissions to ensure that your data are as secure as is possible on a Google server.

1: Make sure you are logged into the Drive folder that you want this form to be saved on. Open up the File menu and select Make a copy… Don’t check the box to share the copy with the same people that this form is shared with.

2: Check and if necessary change the sharing permissions by opening the File menu and selecting Add collaborators… In the pop up box you will be able to alter who can see the form however you want. If you will be doing all of the data recording and analysis yourself, then set the form to private. If a carer will be filling it in some or all of the days, you can either add their email to the list of approved collaborators, or set the form to Share with link, and send them the link by email.


The way that Drive works, the only way that this can be made available as a template to be copied means leaving it open for anyone to edit or submit responses. I will not be reliably or regularly doing upkeep on this template, but if I see that any responses have been submitted, I will delete them, and if I catch any changes, I will try to change it back to it’s original design. So please, be careful to only make changes and submit responses once you have copied this over to your own Drive folders.

Here is the link to the form:

I hope this is useful šŸ™‚


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