Checked with lasers, the top of two stories was within 1/4", which I consider very accurate for a house. The only adjustment was when filling the forms. They are set to lean inward very slightly, then adjusted once filled but not set. A string stretched tight from each corner is used to adjust to. I'm a toolmaker by trade, so I'm sure I spent a lot more time than typical to keep everything perfect as I went. But we also started with really, really good footings. I snapped lines, and glued the first course of blocks down with a foam gun. I was impressed by how accurately the Fox Blocks stacked up.
There was only one thing annoying about Fox. I used 8" for the basement, and 6" for the main floor. The two sizes, when fit together will line up on the inside, and leave a 2" ledge on the outside. That's fine if you want a brick ledge; I didn't. I had to shorten the blocks at the corners of the 8" to get the walls flush on the outside.
I did something unique with my windows. Due to the thick walls, you get a tunnel effect at the windows if you make them flush with the outside, and of course you need to make huge jamb extensions. Instead, I used windows for a typical 4" wall, and then tapered the forms on the inside. It makes the window seem much larger, and lets more light in. It was a fair amount of extra work, but I like the results. It would be cool if a manufacturer made special blocks for that purpose. Here's the semi-finished kitchen: