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 which can be laminated and cut out and put on a keyring or lanyard for easy access and to take on the go! 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