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You can also use a built-in blackboard to draw words and pictures to aid in your communications.
If you are having problems with the app, there are options on the preferences page to send feedback or to send stack traces to the developer.
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Version 1.5 adds the ability to create picture buttons from cropped images taken by the camera. This may be useful for stroke victims who are having trouble recognizing words.
Version 1.7 removes an unneeded permission.
Version 1.9 adds a way to add external audio files to phrases.