I'm very pleased with this brand of shower wand because of it's lightness and ease of maneuverability while sitting on my chair. I would highly recommend this unit for anyone who suffers with arthritis in my hands as well as lower back.
Nice feel, but uses an incredible amount of water. Used to be all 3 of us could take consecutive showers and there would still be plenty of hot water. With the Premier, it starts to get lukewarm during the second shower. The ball-joint connection was what we really needed to replace, however, so we kept that and switched back to our old shower head. Perfect! BTW, no instructions were included; didn't really need them.