I usually wear slippers or shoes with rubber soles to help avoid the static electricity issue. I also don't wear fleece or sweaters, or any other materials that can build up a static charge. I'll usually touch metal to ground myself as a precaution before handling electronics. All of that is basically habit at this point.
I handle electronics all the time and have never used a grounding strap. I can usually feel when there's a static charge built up on me, but it really doesn't happen very often, especially with the other precautions I take.
Quoted from LTG:Static shock may not kill an IC, but it might get it to degrade over time.
I've seen someone decap an IC after it got hit and killed by a good static shock. I assumed that if there was any damage visible, it would've just been on the chip die, but it looked like a few of the fine wires between the die and legs blew apart in addition to a burn mark on the die.