This product features the PECS communication system in a variety of ways! The first several pages of the 13-page document have 6 pictures and can be printed front and back, laminated, and can be carried around as a board for your child to point to specific pictures to communicate. Pictures on boards include: restroom, yes, no, all done, eat, drink hello, more, help, stop, go, goodbye I want, to play, a book, IPAD, TV, a snack I like, I love you, do not like, I am tired, I am mad, I hurt This product also includes a more complex communication board with 24 pictures in color categories. The last several pages include 2.5-inch individual pictures or visuals (88 pictures total) which can be laminated and cut out and put on a keyring or lanyard for easy access and to take on the go! Pictures include pictures appropriate for school useand pictures to use with the family outside of school. Keyring pictures include: yes, no, all done, more, stop, go, I want, help I'm sorry, walk, stand up, sit down, bathroom, wash hands, come with me, wait a minute eat, drink, I hurt, I feel sick, time to go, playground, grocery store, quiet nice hands, calm feet, deep breath, I love you, cold, hot, yucky, seatbelt on time for school, go home, watch TV, IPAD, snack, play, video game, bike who, where, my turn, your turn, I need, headphones, phone, sensory area swing, slide, ball pit, movies, swim, restaurant, doctor appointment, dentist YouTube, run, clean up, book, music, special activity, hello, goodbye, speech therapy, occupational therapy, physical therapy, change in schedule, something new, I need a break, touch gently, sit on the floor, get off swing, stop, I want, finished, swing, bubbles, open, close, zoo, library, classroom, sports practice, PE/gym, cafeteria, music class, art class