help with filling out ESA50 form

question 2 on standing and sitting and question 3 on reaching do i tick it varies as when i get gout attacks in my hands and arms i am unable to use my hands when i have gout attacks in those joints sometimes my elbow or knuckle joints thank you

Thanks for your reply Gary
In 2017 i complained about my assessment to Maximus On the second stage of my complaint i got an apology from the manager, and a £300 consolotory payment, for their assessment lacking detail in many areas, and having omissions. A copy of the apology letter was sent to the DWP before my tribunal date, but still i had to go to tribunal and was awarded 15 points for question 1 mobility, and 9 points for question 2 standing and sitting. The funny thing was that a PO rrom the DWP turned up at my tribunal hearing for ESA which is unusual. Since the results of a Kidney Biopsy in late 2017, i had been diagnosed now with CKD stage 3, and now on all my Rheumatologist letters also, they put on the heading of the letter 'Chronic Gout'. My Gout attacks are more frequent and more severe since the tribunal hearing in 2017, due to my kidneys losing function, is that the way that would be best to explain it in my form, and should i not tick that it varies due to my conditions becoming Chronic?
Should i enclose a letter from my tribunal award in september 2017, along with copy of letters from the rhematologist which state diagnosis as Chronic Gout, and other diagnosis as Chronic kidney disease stage 3?

Thank you

Hi Gary sorry to bother you again but i have a question about q 1 moving around and using steps as i sending on with my esa 50 Tribunal result from Sep. 2017 where i was awarded 15 points on that descriptor As I am on DLA high rate mobility would that be looked at when it comes to me having to switch over to PIP if i tick the 50 meter box or would that only be look at with people who are already on PIP Thank You