This is a great pad. It's 1st quality (not recycled) paper. The perforations at the top make it easy to remove pages. The best feature though is the three-hole punch so that I can put it into a binder.
I keep detailed records of my Medical History and Current Medications. The dual pad fits nicely in my folder and will provide twice the note taking capability. Saves valuable time during doctor's and other professional visits.
If you have a need for loose leaf paper to keep in a loose leaf book binder where the pages are separated according to topics it is easier to have a loose leaf pad to take notes on than to carry a looseleaf binder. It is more compact and easily fits into an attache or into a portfoilio binder which is speciffically designed to hold such a pad. It keeps the notes together without juggling loose pages of loose leaf. Yet latter when back home or at the office you can tear out the pages and organize them as needed.