If you know the NCCHC standards it isn't that bad of a test but it is going to get worse next time. It will be proctored and you will have to take it with people watching you instead of being independent. I took the test two years ago and I am glad I did and I will make sure that I will keep mine current. It just jacks my jaws that they want soo much money for the renewal for what and do we get paid for it???????? Hell no just a burden that we have to continue to bear...