The wide base of this shower head makes it feel as if you’re standing under a waterfall! I prefer setting the dial as I have pictured, at about 11’oclock on the dial. We did purchase the 9” extension. It probably has a lot to do with how high up your shower head sits in your shower. So with the extension, ours hits us at about 6’ 6” or so. But it feels amazing flowing down onto your head, and if you let it hit just right, both your ears close off (from the water flow) so you feel like your under a waterfall, and it’s the best feeling after a long day at work.