Used item. Pages have been cut. Please consider purchasing only if you understand this. Original price: 2600 yen I bought this for exam preparation, intending to carry it around, but I never did. I haven't used it as a textbook. There are about 1-5 pages with wrinkles. No writing or highlighting. Please refer to the close-up photos of the corners. - Title: Mental Health and Welfare Specialist: Questions and Answers, Specialized Subjects, 5th Edition #MentalHealthAndWelfareSpecialist #NationalExam The pages have been hole-punched, making it easy to file by chapter. The blue cover paper, the green transparent file, and the rings are included as extras. The green transparent file has many scratches and stains. I will keep them on for storage, but if you don't need them, I will remove them before shipping, so please let me know in the comments. The red sheet has not been used, but it has some scratches from when I bought it. Please consider this as an extra as well. Please read my profile for a smooth transaction.