Can I just check, do you or any of your household receive any of these listed on this card? Please only
think about people aged 16+ in your household.

Please could you tell me who receives these allowances in your household?

Now looking at this card, which of these rates is {^name of HH member selected at AttDisab} currently
receiving? Just tell me the number beside the row that best apply

Part 1:
1 Attendance Allowance
2 Disability Living Allowance– care component
3 Disability Living Allowance – mobility component
4 Personal Independence Payment – daily living component
5 Personal Independence Payment – mobility component
6 None of these

Part 2:
List people from household grid aged 16+

Part 3:
Attendance Allowance
1 Higher rate for attendance during day AND night – £83.10
2 Lower rate for day OR night – £55.65
Disability Living Allowance (DLA) – Care Component
3 Highest rate – £83.10
4 Middle rate – £55.65
5 Lowest rate – £22.00
Disability Living Allowance (DLA) – Mobility Component
6 Highest rate – £58.00
7 Lower rate – £22.00
Personal Independence Payments (PIP) – Daily Living Component
8 Enhanced rate – £83.10
9 Standard rate – £55.65
Personal Independence Payments (PIP) – Mobility Component
10 Enhanced rate – £58.00
11 Standard rate – £22.00