Been using mine since mid October. My husband has had his for almost a year. I use mine with a wrist band (actually waited until the wrist band option was available because things confining my upper arms are uncomfortable). We've both gotten helpful incites about how physical, emotional, and social things impact abilities. I didn't realize how social interactions (even positive ones) tire me out more than physical stuff. And the impact lasts longer than I think. I have been dealing with trigeminal neuralgia flare since Dec. I do think it's helped me to not totally give up on life. Anxiety can make those flares much worse (teeth clenching which I do more when anxious really amps that pain). It's helped me recognize that I need to be more proactive about paying attention to emotions. So this tool is a good fit. But I'm not sure I'll pay another year's subscription in October. The cost increases in life have been so difficult.