The text book has underlining and writing. Activity book is clean. The product is a textbook titled "Multisensory Teaching of Basic Language Skills" by authors Louisa Cook Moats and Judith R. Birsh. Published by Brookes Publishing in 2018, this hardcover book focuses on teaching methods and materials for reading, phonics, language arts, and special education. With 920 pages, this textbook offers valuable insights and strategies for educators and professionals in the field of education and audiology/speech pathology, providing a comprehensive resource for enhancing language skills in students with learning disabilities.