I've been using Backpack since the launch earlier this month. I was initially attracted to Backpack because of the technology involved (Rails, AJAX), but I just became a paying customer because of the pure utility and simplicity of the service.
We all have todo lists - once the list gets beyond 5-7 items, it is usually a good idea to write them all down. I've used the task features in Outlook extensively; I even used Taskline for a while, a cool Outlook plugin that maps tasks into calendar entries. My main issue with using Outlook tasks is that they aren't as portable as I'd like them to be, even with synchronization to my BlackBerry. Currently this synchronization only happens when docked, not wirelessly.
I also have a long list of items I track across a range of projects, some work-related and some personal. Many of my personal projects involve collaboration with others - often via emailed lists of assigned tasks. So allow me to enumerate some of the very cool features of Backpack that I'm currently using:
My recommendation: create a free test account and try it for a few weeks. If you don't spend much time at a computer, you may not find it as useful as I do. But if you do, Backpack is a great way to keep your personal life in order.
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Disclaimer The opinions expressed herein are my own personal opinions and do not represent my employer's view in anyway.