I put this in the kitchen while I'm standing at the stove and do various things on one leg to help my balance and strengthen my ankle and calf muscles.  It is getting a lot of use. Inside the box is a very large (box size) paper with instructions for various other exercises such as some I do in Pilates.  I find some of those quite helpful too.  It's a lot better putting my forearms on the balance pad to do "pushups" than on a hard floor for example.