So far, I've used one side of 1 piece of paper. I have 33 blank pages that are sitting around waiting for notes, shopping lists, or whatever. 5836.5 to go! I can't imagine going through that much. In fact, I wouldn't have need to use that side accept that my personal care assistant (PCA) had to write an emergency note telling my other assistants that my chair charger had sparked and also to remind sometimes bubble headed me to call the mechanic come Monday!