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telephone - its been so difficult for us too. that was the third bl00dy form i filled out (aren't they hateful things?) and got supporting evidence from gp, cpn, psychologist, psychiatrist and esa too. basically harrassed them until they gave us what we are entitled to - its the first time we have ever claimed anything after working for years and bless him, he just isn't in a position to do that now. see if your local cab can point you in the direction of a service that can help you assess the needs and put them down on the form in terms of it likely getting you the award you need. personally, i think that they make the whole process so difficult that some people don't challenge the refusals. i badgered them until i got what we needed and it took us 11 months and two appeals. come to think of it - it was the same for my mum who is disabled (she needs a hip replacement) and they buggered her about as well. keep going and you will get there - enlist the help of anyone you can to get it sorted. i wish you luck x