Tap AAC

First-then board: free printable with picture cards

A first-then board shows two pictures: what happens first, and what comes next. “First shoes on, then outside.” It helps a person see that the thing they want is coming. This free PDF has the board and 12 picture cards to cut out, two of them blank for your own photos.

Download the free PDF US Letter, 2 pages, 456 KB

Portrait (tall page, 2 pages): US Letter PDF (451 KB) · A4 PDF (458 KB)

Landscape (wide page, 2 pages): US Letter PDF (456 KB) · A4 PDF (458 KB)

First-then board in use: a picture card of shoes in the First box and a card of a child playing outside in the Then box.
In use: first shoes on, then outside. In the PDF the boxes are empty, ready for any card.

Edit this board in the free board maker: change the words and pictures, then print.

Have Tap AAC? Add to Tap AAC (.obz file, 355 KB) · How to add a board

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  • Print as many as you need

Who it’s for

Children who do better when they can see what’s coming: a child who finds it hard to leave the park, to start homework, or to sit still for a haircut. It works with toddlers, with children who don’t speak or don’t speak much, and with older children who simply like to know the plan. Parents, teachers and therapists use it to make a hard step shorter and the reward easier to believe in.

Where it helps

How to use it

  1. Put the task in First. Choose something short, like washing hands or putting shoes on.
  2. Put something the person wants in Then. A snack, a swing, a story: whatever they really want right now.
  3. Point and say it in a few words. “First wash hands, then snack.” Use the same words each time, and point to each card as you say it.
  4. Mark the first part done. Say “Done!” and take the card off.
  5. Give the Then right away. Keeping this promise is what makes the board work.
Sheet of 12 picture cards to cut out: bathroom, wash hands, shoes on, clean up, work, play, outside, swing, snack, story, and two blank cards for a drawing or photo.
Page 2 of the PDF: 12 picture cards to cut out.

Choosing a good Then

The board works when the Then is something the person truly wants, and the First is short enough to finish. If the First is a long job, cut it down: first two pages, then a break. When you can, let the person pick the Then from two cards with a choice board. Keep the board a promise, never a threat: “first shoes, then swing”, not “shoes, or no swing”. For more help when it isn’t working, read how to use a first-then board, step by step.

Children and adults

First-then isn’t only for young children. For a teenager or an adult, use photos or plain words instead of cartoon-style cards (“first laundry, then coffee”), or write the two steps on a sticky note in the same First and Then boxes. Keep the tone the same as with any adult: it’s a reminder of the plan, not a reward chart.

An example of what it can look like

Hannah is four, and she loves the swing. Leaving the house used to mean shoes being kicked off in the hall. Now her mom puts the shoes on card in First and the swing card in Then, and says, “First shoes, then swing.” Hannah pushes one foot in, then the other. Her mom takes the shoes card off: “Done!” At the park, the swing is the first stop, every time.

What’s on the PDF

Page 1 is the board, printed sideways: a First box and a Then box with an arrow between them, each with space for a card. Page 2 has 12 cards to cut out:

Picture cards

Making the board and cards

These boards and guides are general information, not therapy or medical advice, and they don’t replace a speech therapist. A speech therapist who knows the person can help choose the right words, pictures and layout. The boards are free to print and share; please don’t sell them (terms of use). Questions about the boards? Email support@lmnoplabs.fun.