Alice pip test

1. Do you have any difficulties making a proper meal from fresh ingredients?

Yes

I cannot prepare and cook food I need supervision to help me stay safe or physical help to prepare or cook a simple meal I need reminding or encouraging to prepare or cook a simple meal I cannot cook a simple meal using a conventional cooker but am able to do so using a microwave I need to use an aid or appliance to be able to prepare or cook a simple meal None of the above

2. Do you have any difficulties with eating or drinking?

Yes

I cannot get food and drink to my mouth and need another person to do this for me I need physical help to manage a therapeutic source to eat or drink I need reminding or encouraging to eat or drink I need a therapeutic source to be able to eat or drink I need to use an aid, or appliance, or supervision to help me stay safe, or physical help to be able to cut up food to be able to eat or drink None of the above

3. Do you need any help to manage your medication, therapy, or monitor your condition?

Yes No

I need supervision to help me stay safe, or reminding or encouraging, or physical help to be able to manage therapy that takes more than 14 hours a week I need supervision to help me stay safe, or reminding or encouraging, or physical help to be able to manage therapy that takes more than 7 but no more than 14 hours a week I need supervision to help me stay safe, or reminding or encouraging, or physical help to be able to manage therapy that takes more than 3.5 but no more than 7 hours a week I need supervision to help me stay safe, or reminding or encouraging, or physical help to be able to manage therapy that takes no more than 3.5 hours a week I need to use an aid or appliance to be able to manage my medication, or I need supervision to help me stay safe, or reminding or encouraging, or physical help to manage my medication or monitor a health condition None of the above

4. Do you have any difficulties washing or bathing?

Yes No

I cannot wash and bathe at all and need another person to wash my entire body I need physical help to be able to wash my body between the shoulders and waist I need physical help to be able to get in or out of a bath or shower I need physical help to be able to wash my hair, or to wash my body below the waist I need supervision to help me stay safe, or reminding, encouraging or reassuring to be able to wash or bathe I need to use an aid or appliance to be able to wash or bathe None of the above

5. Do you have any difficulties with incontinence or going to the toilet?

Yes No

I need physical help to be able to manage incontinence of both bladder and bowel I need physical help to be able to manage incontinence of either bladder or bowel I need physical help to be able to manage my toilet needs I need supervision to help me stay safe, or reminding or encouraging to be able to manage my toilet needs I need to use an aid or appliance to be able to manage my toilet needs or incontinence None of the above

6. Do you have any difficulties dressing and undressing?

Yes No

I cannot dress or undress at all I need physical help to be able to dress or undress my upper body I need physical help to be able to dress or undress my lower body I need reminding or encouraging to be able to dress, undress or not undress inappropriately, or I need reminding or encouraging, or physical help to be able to choose appropriate clothing I need to use an aid or appliance to be able to dress or undress None of the above

7. Do you have any difficulties speaking, hearing, or understanding what has been said?

Yes No

I cannot express or understand verbal information at all even with help from someone trained or experienced in helping me I need help from someone trained or experienced in helping me to be able to express or understand basic verbal information I need help from someone trained or experienced in helping me to be able to express or understand complex verbal information I need to use an aid or appliance to be able to speak or hear None of the above

8. Do you have any difficulty reading and understanding signs, symbols and words?

Yes No

I cannot read or understand signs, symbols or words at all I need reminding, encouraging or reassuring to be able to read or understand basic written information I need reminding, encouraging or reassuring to be able to read or understand complex written information I need to use an aid or appliance (other than glasses or contact lenses) to be able to read or understand either basic or complex written information None of the above

9. Do you have any difficulties engaging with others face to face?

Yes No

I cannot engage with other people because it either makes me feel so anxious or distressed that I cannot function, or because it causes me to behave dangerously, and either I or another person might get hurt I cannot engage with other people because it makes me feel so anxious or distressed that I cannot function I need reminding, encouraging, or reassuring to be able to engage with other people None of the above

10. Do you need any help with money or making budgeting decisions?

Yes No

I cannot make any budgeting decisions at all I need reminding, encouraging, or reassuring, or physical help to be able to make simple budgeting decisions I need reminding, encouraging, or reassuring, or physical help to be able to make complex budgeting decisions None of the above

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Help others get a better start in 2025

Alice pip test

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