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Meh. I am SUPER unimpressed. The cover is floppy and so it's hard to write without a hard surface underneath. The paper is extremely thin. My ballpoint pen bleeds through to the other side. I have been buying and testing a bunch of different customizable/moveable paper notebooks in order to organize my clinical notes better (I'm an NP student). So far Filofax has disappointed as far as quality, especially given the high price point. I am like TUL and staples arc ring bound notebook systems the best so far.