This toy is super cute but I forgot to take it out of the box. I displayed the carrots being pushed through but otherwise, the toy is new! It did not come with q tips. Super cool toy that has great reviews. Perfect condition! This toy is intended for 13, 14, 15 month and beyond. *Last 2 photos show the description of how to use. Book/card does not come with the item and is used as a reference for use.* New to Poshmark? Use the referral code BROWNEYEDBABY87 to receive $10.00 off your first purchase when creating a new account. It must be a new account to get this promo. All items come from a 🚭 smoke free and 🐶 pet free 🐱 home!