I used this as a reinforcement for certain children who had difficulty attending during therapy and needed some type of reward. For each session they actively participated in, they'd receive a "dollar". Only speech dollars could be redeemed for speech goodies- an eraser, piece of candy, whatever. I set the price on the items and it gave them something to strive for. I recommend printing these out on colored cardstock, as this is an ink-saving B&W product.