This is a punch card to use with students who are in need of a motivator to use their hearing aids. This punch card is for a 5-day/1 week use. I have successfully used this with my students in my school. This card allows for the student to have an "off day" without penalizing them for the good days they have had meaning the student does not need to have 5 good consecutive days to earn a reward. Once the student has totaled 5 good hearing aid usage days then he/she will turn the card in to you for a reward.