This is a ruler with illustrations to visualize pain assessment. - Design: Features illustrations of faces expressing emotions - Scale: Pain assessment scale from 0 to 5 - Usage: Indicator and ruler for showing the degree of pain - Material: Plastic - Size: Approximately 15cm ruler - Language: Japanese Thank you for viewing. I am selling this because I don't use it. Please understand that this is a used item and that I am a private seller. Please proceed with your purchase on the understanding of the product's condition. Please refrain from purchasing if you are sensitive to items stored at home. Regarding shipping, there is no guarantee. I would appreciate it if those who understand this would purchase it. Please read my profile. Please ask if you have any questions!