There is a ton of clicking that is required when utilizing the application, whether on the MAC or iPAD.
One example: Copying & pasting, clicking to select the text, etc is extremely slow. Mistakes are often made because I am working faster than the application. I have to wait a couple of seconds for the text box to show up and make sure the cursor is active before pasting something. If I paste immediately after I select to place my text box, then the text will randomly be pasted onto the page in the original format requiring to click into the text, then double click or click and drag to select all the text within the box, then copy it and then start over again.

Too many clicks and response time is too slow for many actions.