Just as described
It is large enough and soft enough for my husband who has a larger head size.  It is exactly as shown and described. I would definitely recommend it.  Only thing that might make this better were if it had "break-away" closure.  I dislike any neck item -- to easy for it to get caught or for people (dementia patients, kids, etc) to yank on it, causing major injury or strangling.  However, as I said, the product is exactly as described, the change is just a wish.
Rating: 5 stars