Sandy,
I'm not privvy on your location as I live in Sydney Australia but I seriously doubt you would have any real issues with coverage where ever you live.
I live in an apartment building on the 13th floor (approx. 20 metres from ground level) but I'm facing away from any flight paths (opposite side of building). I've got very little visible sky because i'm completely surrounded by office buildings. Most of my signal is getting bounced off the buildings I suspect.
Using the stock antenna placed indoors where there is NO SKY, I still pick up aircraft. Yes it's very directional, and yes the signal is flaky, but in the circumstances it would be expected. I picked up an aircraft today that faces west (opposite direction to what i'm facing), and it was about 200 kilometres away (using the stock antenna sitting on my computer desk). I also have an external antenna mounted on my veranda and that improves things dramatically, but can still be flaky due to the signal coming from reflections. I often pick up aircraft out west using the external up to 400 kilometres away.
My biggest issue is the flaky reception due to lack of sky, and all my signal is bouncing off buildings.
So if I can pick up aircraft in my conditions I would be very surprised if you have any real issues.
Incidently, I find the higher altitude the aircraft is, the longer and further away I can pick the aircraft up. Another reason for the flaky reception here is that i'm only 20 kilometres away from the airport so any close by aircraft are very low to the ground. The signal disappears quickly.
BTW.. I was equally concerned about how it would work in my circumstances prior to buying it. I was thrilled when it worked as well as it did.
Geoff