The notes include a manipulative in which students cut out pictures that represent each level and place them on the worksheet before they view the PowerPoint.(PowerPoint is sold seperately). As the PowerPoint proceeds they can rearrange the pictures and glue them to the worksheet. Students will also fill out a short set of notes for each slide to reinforce the information. This worksheet could also be used as a standalone with teacher instructions. An answer key is included. The PowerPoint presentation is keyed to this worksheet although the worksheet can be used as a stand alone with teacher direction.