BEWARE! The arm band that's included has "index" lines that if the cuff edge, once wrapped around your arm, does not fall within those lines, then it's not useable (will not work properly) so you then have to order and I'm assuming pay for the larger size cuff. This was greatly disappointing as I was wanting to use it as soon as I received it. The machine itself seemed easy to use, but the cuff thing was disappointing.