On our E350 based Axis I don't use it much at all, even when towing a car.
When in haul it holds gears slightly longer and you can force it to downshift by tapping the brake for going downhill.
Something I've noticed our Axis and my wife's Escape does that older Fords don't: when the cruise is on and you're descending a hill the cruise will make the transmission downshift to hold speed.
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