The LittlEARS® Diary Activities includes three parts. The Diary Handbook describes how to use the activities. The Diary Activities has 28 activities designed to provide families with ideas for developing listening and language skills. The Family Interaction Rating Scale can be used to support the therapist in the evaluation of important communication behaviors between the child and caregiver. The LittlEARS® Diary Activities were developed as a stand-alone piece that can also be used with the LittlEARS® My Diary as the activities follow along with the themes in the Diary. It is a useful resource for newly implanted children, their caregivers, and early interventionists.