I just printed this front and back, cut out each picture, and put them on a ring. They're really large and colorful, which will help both physically disabled and visually impaired students. The front and back printing not only makes it so that I save paper, but it's also good for being able to have those students who have enough fine motor to make a field of two choice while the pictures are still on the ring.
This is also good for very beginning communicators who don't yet have drawing-object correspondence, but do have photo-object correspondence (or who you're working on teaching that to). Photos are a combination of highly desired objects and core words.
Pictures are as follows: stop, more, eat, drink, television/computer (you can use it for either), play, outside, help, hurt, I want out
If you like this, but you're looking for something smaller and more portable, check out the keyring sized version for non motor/VI kids here: