Student preference for use of notes during test-taking, and performance outcomes with and without notes, is documented. While alleviating testing anxiety, usage of notes does little to affect testing outcomes, either positively or negatively. This study, undertaken across four semesters, both with and without use of a note sheet, finds no significant difference in learning outcomes. For those reluctant to embrace note usage during testing, this research dispels the notion that notes hinder learning. Yet for supporters of allowing notes, no improvement in learning outcomes is evident. In summary, the benefits of reduced stress and a strong student preference for notes suggests it to be a worthy, if not altogether meaningful, practice.