The quality seems good.  However, the product description said this item adjusted to 4.25 inches.  It doesn't adjust.  It is only 3.5 inches tall.  It is too short.  I had to order another one which hasn't arrived yet.  Also, the texture at the top makes it unusable without some kind of padding if your feet are bare.  I needed it to get into my bed after back surgery.  The description should specify that it is suitable for use only when wearing shoes.  I don't wear shoes to bed!