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does this support screen readers like nvda or does it use self-voicing of the os?

The only screen reader I've personally tested with is the OS self-voicing. That said, it's built with Electron (essentially running its own packaged Chromium), so in all likelihood, any screen reader that works with Chrome should work with it too.

(+1)

is it also accessible on ios?

Yes! In fact, most of the direct feedback I've received on accessibility has actually been specific to the iOS version via the AppleVis community.