I use my 12" iPad Pro flat a lot, mostly for taking notes in meetings using the pencil or drawing diagrams. It's no different to using pen and paper in terms of

I use my 12" iPad Pro flat a lot, mostly for taking notes in meetings using the pencil or drawing diagrams. It's no different to using pen and paper in terms of neck angles and the like. I do find myself using the pencil for stuff you'd do with a finger (clicking buttons etc.) as well as writing/drawing though, maybe in subconscious deference to those ergonomic issues.