This is a very nice and powerful water efficient shower head! Installation is super fast and easy and the 6 settings are super fast and easy to move through. I love the water saving trickle setting and can only imagine the gallons of water this setting alone will save over the course of a year. The Powerpulse massage settings deliver great water force - you would never know this is a water efficient product when using those settings. The shower head tilts and adjusts easily to accommodate varying heights as well.