I used to use them quite a bit because of the local terrain,deep narrow valley's and razorback ridges. It let the signal pop out of those hollows better than a dipole at the prescribed height would do. They give you very solid coverage out to around 400-500 miles,from my experience,but can go much further if conditions are right.
In fact,the only time I'm sure I was heard on the other side of the Atlantic was using a NVIS setup during the evening greyline period. That antenna was at about 8 feet,flat-top style.
You seem to get a better bounce if you put a counterpoise under the thing to direct the signal up. That's up to you though,either way they'll do the job.
If you've got the room,the old cloud warmer,the horizontal loop does wonders. It doesn't have to be that high on 40 meters. 12-15 feet works quite well. I couldn't use them as much as I liked due to the hit and run nature of my transmitting style. Nothing like getting tangled up in 100 plus feet of wire,in the dark,in the woods.