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I'm not the best person to answer that as I was too young. I can tell you that I remember bits and pieces where I was working with a speech therapist (I remember the whole placing my hand on her throat to feel the vibration of certain sounds thing,) as well as working with a teacher out of a book to learn vocabulary, as well as working with another teacher to learn signs. It was a full day split up into these different areas for a couple of years. There were about 10 of us or so and I still have pictures of us sitting around tables with a teacher, then rotating to another teacher, and so on ....