I purchased this kit not knowing if it would look as it did on the picture or even be the actual size for assessments on an adult. I made the purchase June 2015 as a tool for my Nurse Practitioner program at Maryville University. OK here it is, this was the best purchase ever, the size was great, the tools were heavy duty and I was able to complete the entire assessment course with this kit. I loved it sooo much I purchased it again as a gift for my preceptor. I am grateful for this company having this tool at such a reasonable price for a student as myself.