I think the vest is fine; but I was looking for something I could wear over traditional clothing in a nursing setting so I would have pockets.  I thought this would work, but the stark white over regular clothes just didn't look right to me.  I did like the fit, and with scrubs it would be great.  I returned the vest and purchased regular clothing sleeveless vests. I gave it a four, and it could be a five - it wasn't the vest's fault, it was the use I was wanting out of it that didn't work for me.