Don’t waste your money
I would give it a zero if I could. The various app voices are raspy and annoying regardless of the setting you choose. It’s not possible to make phrases or sentences. I decided within a few minutes that it’s not for me, or for my caseload. I emailed them and there is no real tech support or assistance. I asked for a refund and I was told to contact Apple. The makers of this app obviously don’t care about customer service.