# Custom Thoughts vs Occupational Therapy Exam Test

The clearest difference is in-app purchases: Custom Thoughts at none against Occupational Therapy Exam Test's 20. Custom Thoughts also leads on update cadence (every 3 days vs fortnightly). Occupational Therapy Exam Test's advantage is rating (4.9 vs 4.5). On price, ratings volume, ads and device support there is nothing between them.

Both are free to download. Occupational Therapy Exam Test sells 14 in-app purchases, starting at $3.99 per 7 days. Custom Thoughts asks for nothing beyond the download.

Occupational Therapy Exam Test holds the better App Store score, 4.9 against 4.5. Both are backed by a comparable volume of ratings — 8 and 9 respectively.

Custom Thoughts ships an update every 3 days, Occupational Therapy Exam Test fortnightly. The most recent releases landed on October 20, 2026 and October 27, 2026 respectively.

## The numbers

| Metric | Custom Thoughts | Occupational Therapy Exam Test |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.5 (8 ratings)](https://appshunter.io/ios/app/custom-thoughts/id1582733520/reviews) | **[4.9 (9 ratings)](https://appshunter.io/ios/app/occupational-therapy-exam-test/id6670701760/reviews)** |
| Number of ratings | 8 | **9** |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | **Every 3 days** | Fortnightly |
| Monetization | **Free** | Free with in-app purchases |
| Size | 4 MB | 98 MB |
| Requires iOS | **15.0** | 15.1 |
| Devices | **iPhone, iPad, iPod, Apple Watch** | iPhone, iPad, iPod |
| Age rating | 4+ | 4+ |
| Developer | [Caleb Greer](https://appshunter.io/developer/1582708638) | [Prepia Inc](https://appshunter.io/developer/1843388606) |

## What reviewers say

### Custom Thoughts

[App page](https://appshunter.io/ios/app/custom-thoughts/id1582733520)

This app provides a personalized space for self-expression and emotional exploration through journaling. It offers extensive customization options and a unique approach to personal reflection.

**Highlights:** Personalized journaling, Emotional exploration, Customization options, Self-expression tools, Playful secrets feature

**In-app purchases:** none


### Occupational Therapy Exam Test

[App page](https://appshunter.io/ios/app/occupational-therapy-exam-test/id6670701760)

Prepare for your national occupational therapy certification exam with adaptive practice questions, detailed explanations, and a realistic test-day simulator. This app offers personalized learning plans and progress tracking to help you study efficiently and boost your confidence.

**Highlights:** Adaptive practice questions, Detailed answer explanations, Timed exam simulator, Personalized learning plans, Visual progress tracking, Daily streaks for motivation

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (14)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Weekly Subscription | $3.99 | per 7 days |
| Weekly Subscription | $7.99 | per 7 days |
| Weekly Subscription | $11.99 | per 7 days |
| Monthly Subscription | $12.99 | per month |
| Monthly Subscription | $16.99 | per month |
| Monthly Subscription | $16.99 | per month |
| Monthly Subscription | $16.99 | per month |
| Monthly Subscription | $24.99 | per month |
| 6 Months Subscription | $29.99 | per 6 months |
| 6 Months Subscription | $39.99 | per 6 months |
| 6 Months Subscription | $39.99 | per 6 months |
| 6 Months Subscription | $39.99 | per 6 months |
| 6 Months Subscription | $49.99 | per 6 months |
| 6 Months Subscription | $59.99 | per 6 months |


## Frequently asked questions

### Is Custom Thoughts free?

Custom Thoughts is free to download, with no in-app purchases.

### Is Occupational Therapy Exam Test free?

Occupational Therapy Exam Test is free to download, with in-app purchases available.

### Which has better reviews, Custom Thoughts or Occupational Therapy Exam Test?

Occupational Therapy Exam Test is rated higher. Custom Thoughts averages 4.5 out of 5 from 8 ratings, while Occupational Therapy Exam Test averages 4.9 from 9 ratings.

### Do Custom Thoughts or Occupational Therapy Exam Test have ads?

Neither Custom Thoughts nor Occupational Therapy Exam Test shows ads.

### Which is updated more often, Custom Thoughts or Occupational Therapy Exam Test?

Custom Thoughts ships an update every 3 days, and Occupational Therapy Exam Test fortnightly. Most recently, Custom Thoughts was updated on October 20, 2026 and Occupational Therapy Exam Test on October 27, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*