In addition to the effectiveness of specific auditory stimuli, many subjects report that ASMR is triggered by the receipt of tender personal attention, often comprising combined physical touch and vocal expression, such as when having their hair cut, nails painted, ears cleaned, or back massaged, whilst the service provider speaks quietly to the recipient. Furthermore, many of those who have experienced ASMR during these and other comparable encounters with a service provider report that watching an "ASMRtist" simulate the provision of such personal attention, acting directly to the camera as if the viewer were the recipient of a simulated service, is sufficient to trigger it.
ASMR is usually precipitated by stimuli referred to as 'triggers'. ASMR triggers, which are most commonly auditory and visual, may be encountered through the interpersonal interactions of daily life. Additionally, ASMR is often triggered by exposure to specific audio and video. Such media may be specially made with the specific purpose of triggering ASMR or originally created for other purposes and later discovered to be effective as a trigger of the experience.