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Yes, the bell was very effective. It reminded me of my childhood and listening to the chimes of my grandparents' grandfather clock - I loved hearing them go off in the middle of the night and found it extremely relaxing. Yes, as I was paying close attention I could feel the stress and anxiety seep out of my body. The breathing exercise prior to the bell chiming was extremely helpful. The voice was very helpful - this person has a very soothly voice. I enjoyed this exercise very much!