Overall, I'm very happy with this kit. The instructions on how to take manual blood pressure readings were clear and after a few tries I got the hang of it. A few things worth mentioning...the cuff that came with my kit is definitely not "regular size", it is large. I am a big lady and this cuff is so long on my upper arm that it extends a bit past the bend of my elbow. Even so, this does not impact the accuracy of the reading for me but it might be an issue if you are a smaller person. Also, yes it does come with a little pouch but the only thing that will fit in it is the unassembled stethoscope. Once you put it together even the stethoscope won't fit in the pouch and certainly not the whole kit. I'm using an old camera bag to hold everything. I wanted this kit because my battery powered monitor was giving me erratic readings and I felt doing it the old fashioned way would be more accurate. It was a bit more fussy at first but now...mission accomplished!