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Learn how to prepare your child for a pediatric hearing test with simple tips that improve comfort, participation, and testing success. Preparing Your Child for a Hearing Test Top 5 Parenting Tips for a Successful Pediatric Hearing Test A pediatric hearing test can feel unfamiliar for both parents and children. This guide explains what to expect during a Visual Reinforcement Audiometry (VRA) appointment and how to help your child stay calm, engaged, and ready for a successful visit. Tip #1: Pediatric Hearing Tests Are Designed to Be Comfortable A visit to a clinic can be anxiety-inducing for both children and adults. Pediatric hearing tests, including Visual Reinforcement Audiometry (VRA) , are designed to feel more like a fun game than a medical procedure. While your child plays and responds to sounds, the audiologist gathers valuable hearing information. In most pediatric hearing tests, you also will not be separated from your child during testing. In many cases, testing can be completed with you in the room or even holding your infant or toddler on your lap. Important Parent Tip: If you are able to be with your child during the test, it's extremely important you don't participate in any way during these games. Even a head turn or gentle nudge during the test can compromise the accuracy of a result. Your job is to be a steady and uninvolved presence during the test unless the audiologist specifically asks you to intervene. Tip #2: Rested, Fed, and Relieved The length of a pediatric hearing evaluation is heavily dependent on the cooperation of the child. In order to reduce as many factors as possible that may interfere with your child’s cooperation, make sure your child is not coming into the appointment hungry, tired, or possibly needing to potty mid-way through the test. If your child has a comfort object (stuffed animal, blanket, small toy), it's also a good idea to bring it along to increase the chance of success during the hearing evaluation. Important Parent Tip: If timing of your appointment is flexible, try not to schedule during nap time. Ideally, plan for a time right after nap time with a snack right before the appointment so that they are primed to be comfortable during the visit. Tip #3: Avoid Screen Time and Overstimulation Before the Appointment Testing your child’s hearing depends heavily on engagement and attention. Pediatric audiologists use Visual Reinforcement Audiometry (VRA) , toys, games , lights, and videos to help children remain interested throughout the evaluation. To help make the transition easier, try to avoid highly stimulating screen time immediately before the appointment. Children who are focused on returning to a favorite show or device may initially have more difficulty engaging during testing. Important Parent Tip: If your child has specific shows or interests that will better engage them during the test, let your audiologist know prior to your visit. They may have a VRA system that allows them pre-load content specifically for your child so that they are as excited about the hearing test as they would be watching at home. Tip #4: Bring Your Enthusiasm Pediatric audiologists work hard to create positive reinforcement and an encouraging environment during testing. While they are experts in evaluating hearing, parents still play an important emotional role throughout the appointment. Encouragement from a trusted parent can help children feel more confident, engaged, and willing to participate during testing. The goal of the appointment is not for your child to perform every task perfectly, but to help the audiologist understand how they respond during testing. The more encouraged they feel, the more likely they are to give it their best effort. Important Parent Tip: Encouragement and coaching are different during a hearing test. Praising your child after they complete a task is very different from helping guide them toward a response during testing. Tip #5: After the Visit, Focus on the Positive Hearing evaluations for children are not always a one-time visit. Especially if a follow up visit is warranted, you want to make sure your child associates hearing tests as fun, and just as importantly, trusts that their audiologist is not a scary doctor to visit. This can make follow-up appointments even more effective as your child learns who the audiologist is, what is involved in a visit and that there is nothing to be afraid of. Your positive reinforcement of the experience after the visit can be just as valuable as the tools the audiologist utilizes during the test if a follow-up visit is required. Important Parent Tip: Even if the appointment was difficult or your child did not immediately connect with the audiologist, try to emphasize the positive parts of the experience afterward. This can help prevent anxiety or fear from carrying over into future hearing evaluations. Final Thought Pediatric hearing evaluations work best when children feel comfortable, engaged, and supported throughout the process. A little preparation before the appointment can make a major difference in helping your child have a successful experience. If you and your child would like to learn more about what to expect during a hearing evaluation, check out our Flex Dog animated introductory videos to learn more about the process in a fun and child-centric way. Flex Dog Videos

Discover Flex VRA — a modern Visual Reinforcement Audiometry system designed for pediatric clinics. Flexible, clinician-led, and trusted in 1000+ clinics worldwide. Every child is different. VRA should be flexible. Flex VRA adapts to the child, not the other way around. Faster tests. More reliable responses. Flex Toy Basic Physical Reinforcer Flex VRA Standard Video Reinforcer Flex Halo Advanced all-in-one VRA reinforcer Compare Systems Book A Demo "I absolutely love the Flex VRA system. Complete game changer." Kelly Jobe, Audiologist., Stephen F. Austin University Flex Halo For years, pediatric audiologists had to choose. Toy? Video? Both? Now the choice is clear. Literally. Starting at $3,750 See it in action Brochure Flex VRA Video. Lights. One System. Our most popular VRA system Starting at $2,450 Discover Flex VRA Brochure Flex Toy Simple VRA thoughtfully updated. Engagement through variation Starting at $1,250 Discover Flex Toy Brochure Used by leading pediatric clinics Flex Window Cover Visual control for sound booths. Keeps the visual environment controlled during testing. $800 Discover Flex Window Cover Brochure Accurate sound where it matters. Flex Speaker A reliable speaker option commonly used in VRA testing environments. $650 Discover Flex Speaker Brochure Welcome Videos Includes built-in content to help prepare and engage pediatric patients and parents. Free to download and share here Play Video Play Video Welcome To Audiology - Flex VRA Dog Play Video Play Video Listening Game (VRA Explainer) Play Video Play Video Welcome To Pictured Words Play Video Play Video Toy in the Bucket Game (CPA Explainer) Flex Toy Flex Halo Flex VRA Which VRA system is right for you? Compare Flex VRA platforms Good Better Best Traditional Toy Reinforcement Video, Lights, and Custom Reinforcement All reinforcement modes in one system Video, 3D toy, lights, and custom content Static reinforcer with changing LED light patterns on each activation Videos of animals, cartoons, toys and custom content with LED light bar High-contrast video, lifelike changing 3D toy, custom content and LED lightbar Ideal for clinics seeing a low amount of pediatric patients Ideal for any booth size Starting at $1,250 See it in action Ideal for a mix of pediatric and non-pediatric patients Ideal for any booth size or mobile Starting at $2,450 See it in action Ideal for high volume or exclusively pediatric patients Ideal for booths 6' x 6' or larger Starting at $3,750 See it in action Not sure which VRA system is right for you? You can mix up different reinforcers to accommodate your specific booth space and budget. Unsure what would be best for your clinic? Request a quick demo or Contact us to discuss . Compare VRA

Free videos to help children prepare for hearing tests. Improve cooperation for VRA and CPA. Download and use in your clinic instantly. Knowing What To Expect Makes Hearing Tests Easier Flex Dog videos help kids understand what to expect at hearing tests so they can arrive more comfortable, confident, and ready to participate. Used in audiology clinics. Built into every Flex VRA. What Happens At A Child's Hearing Test Helps children understand exactly what will happen during a pediatric hearing test, reducing fear and improving cooperation during audiology appointments. Get Video File Want more free videos like this? Click here to give this video a Like on YouTube so we can track what content is most useful in clinics and create more of it. The Listening Game (VRA) Introduces the listening game so children are ready to respond during Visual Reinforcement Audiometry (VRA) testing. Get Video File Want more free videos like this? Click here to give this video a Like on YouTube so we can track what content is most useful in clinics and create more of it. Toy in the Bucket Game (CPA) Prepares children for Conditioned Play Audiometry (CPA) by showing the exact task they’ll perform during testing. Get Video File Want more free videos like this? Click here to give this video a Like on YouTube so we can track what content is most useful in clinics and create more of it. Picture Game (SRT/WRS) Prepares children for pediatric speech hearing tests . Perfect for preparing children (and parents!) for audiology appointments. Get Video File Want more free videos like this? Click here to give this video a Like on YouTube so we can track what content is most useful in clinics and create more of it. Why Preparing Children for Hearing Tests Matters A pediatric hearing test can be unfamiliar and sometimes overwhelming for young children. When a child doesn't know what's going to happen, it can lead to hesitation, inconsistent responses, or an incomplete test. When children know what to expect, they participate more readily, respond more consistently, and stay engaged throughout the appointment. For Visual Reinforcement Audiometry (VRA) and Conditioned Play Audiometry (CPA) especially, a child's responses directly impact the accuracy of the results. A few minutes of preparation can mean fewer delays, a smoother session, and clearer answers for everyone involved. These videos are used in audiology clinics, and built directly into Flex VRA. Download a clinic-ready poster patients can scan to watch these videos

Learn how to select a reliable, flexible VRA system for pediatric audiology. Flex VRA supports integration, visual reinforcers, & seamless clinic workflows. Not all VRA systems are designed the same. As pediatric hearing evaluations have evolved, the expectations for VRA equipment have changed, as well. Clinics now look for systems that are reliable, flexible, and easy to use while supporting consistent patient responses. Here are the key factors to consider when selecting a VRA system. 1. Reliability and Timing A VRA system must respond instantly when the clinician triggers a reinforcer. Any lag or delay makes the test harder and can disrupt the child’s attention. Software driven systems tend to offer faster activation times compared to older mechanical VRA boxes. For instance, Flex VRA utilizes a paired zoned 433 MHz radio frequency wireless transmission protocol to send signal from the remote control to the reinforcer. This means that the lag time between button press to activation would be similar to that of a lag time of a wireless keyboard to your computer...instantaneous. Moreover, because each system's transmission is zoned between paired reinforcers, there is no overlap from other systems or interference from any higher frequency RF signals. 2. Quality of Visual Reinforcers Children respond best to bright, engaging, but not overstimulating content. Look for a VRA system that allows you to customize content and adjust how exciting the reinforcer should present. Features like House Rules in Flex VRA let you control how the center monitor behaves so you get clearer head turns, and more focus on the left and right reinforcers. 3. Integration With Audiology Equipment The best VRA equipment connects smoothly with your audiometer, remote, or clinic workflow. Consider whether the system supports: • Remote control activation • Audiometer integration (GSI Audiostar Pro, Interacoustics EVO and Affinity) • PC or software-based triggering (Madsen Astera by Natus, MedRx Avant, Inventis) Seamless integration allows clinicians to stay focused on the patient instead of the equipment. And Flex VRA includes all three of those options with every Flex VRA shipped at no extra cost . 4. Durability and Build Quality VRA equipment is used daily in pediatric settings. Look for a system designed to withstand constant use, movement between rooms, and long clinical schedules. 5. Versatility and Future Features Clinics benefit from VRA systems that grow with them. Software based systems often release updates, new reinforcers, and feature improvements that extend the life of the system without requiring new hardware. 6. Support and Service Make sure the company behind your VRA system offers reliable support. Pediatric audiology depends on smooth daily operation, so access to fast assistance matters. By evaluating these factors, clinics can choose VRA equipment that improves workflow, supports accurate Visual Reinforcement Audiometry, and creates a better experience for both the child and family. Choosing the Right VRA System for Your Clinic

Discover Flex VRA’s cutting-edge Visual Reinforcement Audiometry system with enhanced performance, custom content, and dynamic features. Learn more today! Designed beautifully. Built to perform. "We love the new Flex VRA system and the flexibility it offers to keep children interested in the task. It has definitely improved patient engagement and reliability of results." Brooke Hammond, Au.D., Audiologist at Primary Children's Hospital, Salt Lake City, UT Flex VRA Configurations R=Right L=Left C=Center FLEX-C FLEX-RL Point of View Demonstration Single Center Monitor 2 Remote Controls Flex PC Audiometer Integration $2,450 Right and Left Monitor 2 Remote Controls Flex PC Audiometer Integration $4,750 FLEX-RLC (most popular) Point of View Demonstration Right, Left, and Center Monitor 2 Remote Controls Flex PC Audiometer Integration $6,950 FLEX COMBINATION SYSTEMS Make any combination of Left, Right and Center reinforcers using the same remote control. (Maximum of 6 reinforcers) Go To Combo Systems International customers: Prices shown are in USD and exclude shipping, duties, and taxes. Pricing does not include the cost of shipping, applicable taxes, and installation. Sold through authorized distributors . We believe pricing transparency saves clinicians time. You can read more about why we post prices online here. Flex VRA Brochure Get a Quote How Flex Works See Flex VRA in action or shedule an online demo The Remote Two Remote Controls Included With Every Flex VRA TOY VIDEO Display videos of cartoons of cartoons and live-animals while an activation button is held down. Display videos of toys while an activation button is held down. ACTIVATORS Left (Blue), Right (Red), and Center (Green) LIGHTS ON/OFF Turn on (top button) and off (bottom button) the 360 degree LED light bar while playing video content. LIGHTS ONLY Activate the 360 degree light bar only while an activation button is pressed down. Custom content comes standard with preloaded Hey Bear Sensory content, but any content can be loaded by the end user CUSTOM VOLUME CONTROL Volume up, down, and mute control of the VRA monitors. DISTRACT Use the VRA monitor as a focal point to keep patients still during tympanometry, otoscopy, or OAE testing. (No Additional Cost) Included With Every Flex VRA Flex PC (Computerized Audiometers) Remote Control (2) Audiometer Integration (GSI Audiostar Pro and Interacoustics EVO) Welcome Videos Includes built-in content to help prepare and engage pediatric patients. FREE to download here . Conditioned Play Audiometry Games Built into every Flex VRA and available for FREE to download here Toy In The Bucket Game Watch Demo Toy Bubble Game The Farm Game Interactive SRT Board Watch Demo Watch Demo Watch Demo Accessories Optional Add-Ons To Enhance Workflow VROCA Button A wireless and battery-free visual reinforcement operant conditioning audiometry button $800 Learn More Screen Mirror Turn your Flex VRA into an internal booth monitor for counseling, play audiometry or otoscopy. $800 GSI Audiostar Pro Any computerized audiometer Learn More Who is Hey Bear Sensory? Learn More About Hey Bear! Hey Bear Sensory designs sensory-based content for children. Hey Bear has quickly gained popularity on YouTube, and within the last 10 years has amassed over 3 million subscribers, boasts approximately 2.5 billion views, and has a constant audience of thousands watching live every day. Flex VRA entered into an exclusive content licensing agreement with Hey Bear Sensory to provide the default custom content that will ship with every Flex VRA system. By combining Hey Bear's insanely popular content with the Flex VRA, we can provide the most engaging and positive VRA experience to audiologists and their patients. Specifications Display 13.3 inch Remote/Flex PC/Audiometer Integration Transmission Wireless Zoned Radio Frequency .05 Seconds (Instantaneous) Activation Latency 18 months Remote Control Battery Life Input: 100-240V 50/60Hz 1.5A MAX Output: +12V, 5A, 60W Power Specifications Dimensions 13.5 inch (L) x 2 inch (W) x 10 inch (H), 8 lbs Operating System Windows 10 Professional Warranty 2 Years

Flex Cover is a wireless privacy screen for audiology sound booths, helping reduce visual distractions during pediatric VRA testing with simple installation and custom sizing. Button Flex Speaker $650 a pair International customers: Prices shown are in USD and exclude shipping, duties, and taxes. Pricing does not include the cost of shipping, applicable taxes, and installation. Sold through authorized distributors . We believe pricing transparency saves clinicians time. You can read more about why we post prices online here. Brochure Installation Guide High Performance Audiometry Speakers Passive Speakers Magnetic backing for easy placement and installation Included speaker adapters for all amplified audiometers Included tape measure to ensure consistent height placement Low profile mounting (no brackets needed) 30 meters of speaker cable included Designed to fit for corner mount or flat mount Mount. Secure. Align. Wire. Connect. A clean, repeatable speaker installation every time. Flex Speaker Installation Walkthrough Compatibility Out Of The Box Taking the guess work out of audiometer connections Flex Speaker ships with the needed adapters to connect speaker wire to the GSI Audiostar Pro and Interacoustics EVO Interacoustics EVO Speaker Adapter (2 1/4" mono to terminal) GSI Audiostar Pro Speaker Adapter (5 pin DIN to terminal) Designed For Audiology Purpose-built to match Flex VRA dimensions, creating a clean, intentional sound booth environment. Integrated with Flex VRA monitor Side-profile, flush-mounted Front view, clean clinical install

Learn how Flex VRA was built to improve pediatric audiology testing through clinician collaboration, real-world feedback, and modern reinforcement methods. Steve Smith with his two assistant (to the) regional managers. We build solutions for the parents of the child being tested. If we provide tools for audiologists that help give those parents answers about their child’s hearing, we’ll always have a customer. Steve Smith, Founder About Flex VRA Listening to clinicians from the start Flex VRA was built to support how pediatric audiology is practiced today, not how it was practiced years ago. From the beginning, our focus has been on helping audiologists maintain attention, reduce distraction, and adapt testing environments to the needs of each child. Founded in 2017 by Steve Smith, Flex VRA began as a response to a simple question from the field: Is there a better way to control what appears on a VRA screen during testing? That question led to a prototype that allowed clinicians to tailor content and environment in real time to improve engagement and test efficiency. The positive response from audiologists shaped what Flex would become. Each request from clinicians became an opportunity to improve. Features like user-uploaded content, audiometer integration, and expanded testing modes were added in direct response to real-world use. That approach continues to guide how Flex VRA is designed today. Built through collaboration with clinicians Today, Flex VRA supports hearing tests in over 1,000 clinics. That growth has been driven by close collaboration with audiologists and a commitment to listening, adapting, and improving. Each feature added to Flex VRA reflects real-world feedback from clinicians working with pediatric patients every day. By focusing on usability, flexibility, and engagement, Flex VRA has evolved alongside the needs of the clinics it serves. Questions about Flex VRA? If you’d like to learn more or discuss how Flex VRA fits into your clinic, we’re happy to help. Contact Flex VRA

Enhance VRA testing with the Flex Screen—Flex VRA's remote-controlled privacy screen for distraction-free audiology sessions. Custom sizes available. Block distractions. Improve results. Better visual control for more consistent pediatric testing. Get the Brochure Installation Guide Flex Cover configurations FLEX-WINDOWCOVER Electric rolling cover 3 ft x 3 ft Magnetic mounts Wireless remote control USB C charging cable $800 FLEX-DOORCOVER Electric rolling cover 6 ft x 18 in Magnetic mounts Wireless remote control USB C charging cable $800 International customers: Prices shown are in USD and exclude shipping, duties, and taxes. Pricing does not include the cost of shipping, applicable taxes, and installation. Sold through authorized distributors . We believe pricing transparency saves clinicians time. You can read more about why we post prices online here. Includes Includes Operator's Side Patient Side Be heard, not seen. Visual control during pediatric testing. Battery-powered window cover for placement anywhere No tools required — install in seconds Custom sizing for individual booths Rechargeable motor for long-term, hassle-free use Wireless control from anywhere in the booth Simple Installation Specifications Wireless Communication Protocol 433 MHz Radio Frequency Power Internal Battery Battery Life 6-12 Months depending on use Charging Power USB C Dimensions Window: 3ft x 3ft, Door: 5 ft x 18 in Warranty Period 2 years

Learn about what Visual Reinforcement is and why it is so important in audologic testing. Visual Reinforcement Audiometry (VRA) What is it and how does it work? Visual Reinforcement Audiometry (VRA) is a behavioral hearing test used to evaluate hearing sensitivity in infants and young children, typically between 6 months and 2–3 years of age, by conditioning a head-turn response to sound using visual reinforcement. Rather than asking a child to respond verbally or press a button, VRA relies on a natural behavioral response. When a child hears a sound, they learn that turning toward it results in something visually interesting. Over time, that association allows clinicians to estimate hearing thresholds based on consistent responses. VRA is most often used with children between approximately 6 months and 2 to 3 years of age, although developmental level is often a more important factor than age alone. Why is VRA used in pediatric audiology ? Standard hearing tests require cooperation, instruction following, and sustained attention. For very young children, that expectation simply is not realistic. Visual Reinforcement Audiometry was developed to bridge that gap. By pairing sound with visual reinforcement, clinicians can collect meaningful hearing information during a critical window for speech and language development. For many children, VRA provides the first reliable behavioral data in the diagnostic process. How Visual Reinforcement Audiometry Works At its core, VRA is a conditioning task. A sound is presented, typically through speakers or earphones. When the child responds appropriately, a visual reinforcer is activated. Over repeated trials, the child learns that responding to sound leads to a visual reward. From there, the clinician can adjust stimulus levels and frequencies to estimate hearing sensitivity. VRA being performed at the University of North Carolina A Typical VRA Session includes: Presentation of calibrated auditory stimuli Conditioning the child to associate sound with visual reinforcement Observing head turns or eye movements toward the sound source Reinforcing correct responses Gradually reducing stimulus levels to identify response thresholds The process is flexible and adapts to the child’s attention span and engagement on a given day. Types of VRA Testing Sound-field VRA Sound-field testing uses speakers positioned to the left and right of the child. This approach measures the response of the better-hearing ear and is commonly used early in the evaluation process. Ear-Specific VRA When a child tolerates earphones or insert phones, ear-specific information can be obtained. This allows clinicians to evaluate each ear independently and is preferred whenever possible. Below is a real-world example of visual reinforcement audiometry performed in a pediatric clinic. Equipment used in Visual Reinforcement Audiometry Visual reinforcement may take different forms: Animated or video-based displays Mechanical or illuminated toys Modern VRA systems often allow clinicians to choose or adjust reinforcement types based on the child’s age, preferences, or attention level. A VRA setup typically includes: An audiometer Speakers or earphones Visual reinforcers positioned to the left and right A control interface or remote Appropriate cabling and accessories Many newer systems use software-based control, allowing clinicians to customize how reinforcement behaves during a session rather than relying on fixed hardware responses. Does VRA Require Calibration? Yes and no. The actual VRA reinforcers do not require any formal calibration because they are not putting out any kind of calibrated stimuli utilized for testing hearing threshold. They are simply the reward stimulus for after the patient has heard oand recognized a calibrated stimuli from the audiometer. It is important to remember that although the VRA does not require acoustic calibration, consistent placement and predictable behavior are important to reliable testing. With that said, in order to properly perform VRA testing, a calibrated audiometer is required to ensure accurate threshold detection. Benefits of Visual Reinforcement Audiometery VRA allows clinicians to: Obtain behavioral hearing information in very young children Perform testing in a non-invasive, child-friendly way Estimate frequency-specific thresholds Adapt testing strategies based on engagement and development For many pediatric patients, VRA represents the most practical balance between accuracy and cooperation. Limitations to keep in mind Like all behavioral tests, VRA has limitations. Results depend on the child’s attention, motivation, and conditioning. Sound-field testing does not provide ear-specific data, and fatigue or loss of interest can limit session length. For these reasons, clinicians often combine VRA with other test methods using combinations systems and emphasize flexible system design. For patients who struggle with traditional visual reinforcement audiometry, VROCA testing offers an operant, visually reinforced alternative. When VRA is the preferred approach Visual Reinforcement Audiometry is typically used when: A child is too young for conditioned play audiometry Behavioral observation alone is insufficient Behavioral data is needed to cross-check objective results Ear-specific thresholds are possible but not guaranteed Professional organizations such as the American Academy of Audiology and the American Speech-Language-Hearing Association recognize VRA as a standard behavioral assessment method in pediatric audiology. Choosing a VRA System When evaluating VRA equipment, clinicians often look beyond basic functionality. Considerations commonly include: Ease of setup and room integration Flexibility of reinforcement options Compatibility with existing audiometers Consistency and reliability during testing Ability to adapt to different patient behaviors Systems that allow customization during the session can reduce frustration and improve efficiency for both clinicians and families. In Summary Visual Reinforcement Audiometry plays a critical role in pediatric hearing assessment. By pairing sound with visual reinforcement, VRA allows clinicians to collect meaningful behavioral data during early stages of development when traditional testing is not possible. As VRA technology continues to evolve, modern systems increasingly focus on flexibility, adaptability, and clinician control, all with the goal of improving test reliability and the overall experience for children and parents alike. FAQ Review What age is visual reinforcement audiometry used for? Visual reinforcement audiometry is typically used for infants and young children between approximately 6 months and 2.5 years of age. It is most effective once a child is developmentally able to localize sound and turn their head toward a visual stimulus. The exact age range may vary depending on the child’s developmental level and attention skills. How does visual reinforcement audiometry work? During visual reinforcement audiometry, a child is conditioned to turn toward a visual stimulus, such as a lighted display or animated image, when a sound is presented. When the child correctly responds to the sound, the visual reinforcement is activated as a reward. Clinicians observe these head-turn responses to determine hearing sensitivity across frequencies and ears. Is visual reinforcement audiometry reliable? Yes, visual reinforcement audiometry is considered a reliable and widely accepted behavioral hearing test when performed correctly. Reliability depends on factors such as patient engagement, clinician experience, and proper test setup. VRA is commonly used in pediatric audiology as part of comprehensive hearing assessment. How long does a VRA hearing test take? A typical visual reinforcement audiometry session lasts 15 to 30 minutes, depending on the child’s cooperation and the information being gathered. Testing may be shorter or longer based on attention span, age, and whether additional assessments are needed. Breaks are often incorporated to maintain engagement. What is the difference between VRA and play audiometry? Visual reinforcement audiometry is generally used for younger children and relies on head-turn responses reinforced by visual stimuli. Play audiometry is used for older toddlers and preschool-aged children who can perform a task, such as placing a block in a bucket, when they hear a sound. Both are behavioral tests, but they are matched to different developmental stages.

Flex Halo is a hybrid VRA reinforcer that combines video and toy stimulation in one unit. Replaces multi-unit setups. Built for pediatric audiology clinics. Where toys come to life Patent Pending First, we made VRA engaging. Now, we make it feel real. Kids are instantly drawn to it and stay engaged. Don’t take our word for it. See it in action. I used the Flex Halo system with a patient with autism where we have obtained VERY limited behavioral information and have only relied on ABRs for hearing updates. The patient conditioned to the transparent screen and we were able to obtain a speech threshold for the first time. Dr. Jenny Goehring, Au.D. Boystown Hospital The Flex Halo Effect The Flex Halo Effect A new approach to VRA Traditional VRA forces you to choose between toys, video or purchasing both. Now, you don't have to choose. Toys quickly lose their impact as children habituate quickly to the same stimulus repeatedly. Video may not provide the novelty for every child. Flex Halo combines lifelike toy and video reinforcement, so the stimulus is novel every time. Toy Video Halo Flex Halo Configurations Flex Halo isn’t an add-on. It’s a complete replacement for traditional toy and video VRA reinforcement systems. FLEXHALO-C Single Center Monitor 2 Remote Controls Flex PC Audiometer Integration $3,500 FLEXHALO-RL Right and Left Monitor 2 Remote Controls Flex PC Audiometer Integration $6,500 FLEXHALO-RLC Right, Left, and Center Monitor 2 Remote Controls Flex PC Audiometer Integration $9,700 HYBRID Make any combination of Left, Right and Center reinforcers using the same remote control. (Maximum of 6 reinforcers) International customers: Prices shown are in USD and exclude shipping, duties, and taxes. Pricing does not include the cost of shipping, applicable taxes, and installation. Sold through authorized distributors . We believe pricing transparency saves clinicians time. You can read more about why we post prices online here. Get a Quote Brochure The Remote Two Remote Controls Included With Every Flex VRA TOY VIDEO Display videos of cartoons and live-animals on the Flex Halo VRA display Display life-like digital toys spinning inside of the Flex Halo VRA box LIGHTS ON/OFF Turn on (top button) and off (bottom button) the 360 degree LED light bar while activating VRA stimuli LIGHTS ONLY Activate the 360 degree light bar only while an activation button is pressed down. Custom content comes standard with preloaded Hey Bear Sensory content, but any content can be loaded by the end user CUSTOM VOLUME CONTROL Volume up, down, and mute control of the Flex Halo VRA. DISTRACT Use Flex Halo as a focal point to keep patients still during tympanometry, otoscopy, or OAE testing. ACTIVATORS Left (Blue), Right (Red), and Center (Green) Included With Every Flex Halo Flex PC (Computerized Audiometers) Remote Controls (2) Audiometer Integration (GSI Audiostar and Interacoustics EVO) Welcome Videos Includes built-in content to help prepare and engage pediatric patients. FREE to download here . Conditioned Play Audiometry Games Built into every Flex VRA and available for FREE to download here. Toy In The Bucket Game Toy Bubble Game The Farm Game Interactive SRT Board Watch Demo Watch Demo Watch Demo Watch Demo Optional Accessories VROCA Button A wireless and battery-free visual reinforcement operant conditioning audiometry button $800 Learn More Screen Mirror Turn Flex VRA into an internal booth monitor for counseling, play audiometry or otoscopy. $800 GSI Audiostar Pro Any computerized audiometer Learn More Specifications Display 13.3 inch Remote/Flex PC/Audiometer Integration Transmission Wireless Zoned Radio Frequency .05 Seconds (Instantaneous) Activation Latency 18 months Remote Control Battery Life Input: 100-240V 50/60Hz 1.5A MAX Output: +12V, 5A, 60W Power Specifications Dimensions 14 inch (L) x 4 inch (W) x 9.5 inch (H) Operating System Windows 10 Professional Warranty 2 Years Accessories Optional Add-Ons To Enhance Workflow

Flex Mobile is a complete portable VRA system designed for mobile audiology, outreach clinics, and shared testing environments. Transparent pricing available. Built for mobile audiology. A full featured portable VRA system built for mobile audiology, outreach clinics, and shared testing environments. It delivers the same Flex VRA experience clinicians rely on, in a compact kit designed to move with your practice. Designed for Portable VRA Testing Flex Mobile VRA System A portable VRA system designed for mobile audiology. FLEX-MOBILE A complete, ready-to-use Flex VRA kit, including: Single Center Monitor 2 Remote Controls Flex PC Carrying Case Table Top Stand $2,950 International customers: Prices shown are in USD and exclude shipping, duties, and taxes. Pricing does not include the cost of shipping, applicable taxes, and installation. Sold through authorized distributors . We believe pricing transparency saves clinicians time. You can read more about why we post prices online here . Get A Quote for Flex Mobile Brochure Portable magic. Real Engagement. Maintains children’s attention better than other VRA systems I've used. Brandi Murphey, Au.D. Owner, West Texas Mobile Audiology Set it down. Power on. Test. Dynamic SRT Pictured Words Board An SRT board that moves and has sound in response to touch! Watch Demo Diagrams Application Display diagrams of the ear for counseling or upload your own images! Frequently Asked Questions about Flex Mobile How would I activate the reinforcer in a mobile environment? Flex Mobile can be activated using the included wireless remote controls or directly from the Flex PC. What is the weight and dimensions of the fully packed Flex Mobile VRA case? Designed to be easy to transport and store, the case is 13" (L) x 4" (W) x 10" (H) and weights approximately 7 pounds fully loaded. Do I need to charge it before use? Flex Mobile is powered via a standard wall outlet to ensure uninterrupted, consistent performance during testing. Are there any features in Flex VRA that I wouldn't get in Flex Mobile? Flex Mobile includes the full Flex VRA feature set, including all applications, CPA games, and hardware controls. The only difference is the portable mounting and carrying configuration.

The site exists to show Flex VRA customers how to select the appropriate boot device on older Flex VRA systems. Flex VRA Tech Note: Not booting to proper boot device Download Tech Note Overview Issue Flex VRA turning on to a black screen that says the VRA cannot find the proper boot device. Cause The VRA is not booting to the correct boot device and it cannot find the correct Solid State Drive to launch the operating system. Resolution Confirm the user is using a Generation 2 remote control by having them identify the QR code on the bottom of the remote. Have them turn the device off by pressing the silver power button under the left-hand side of the screen behind the screen bezel. Find the “Toy” button on the remote control (the VRA sees this button as an ESC key). Press the power button again to turn the monitor on and immediately start tapping the “Toy” button until they see a blue and gray BIOS screen. Use the red right arrow on the remote control to navigate to “Boot” in the menu. Use the lights off button (icon on the bottom of the white circle on the remote control) to arrow down to “Boot Option 1”. Press the center green circle on the remote control (ENTER) to see your boot options and scroll to the “Windows Boot Manager” device and press the green circle again. Arrow over to Save and Exit and press the green circle button on the remote control to reboot. Note: If you do not see an option for “Boot Manager Device”, there is an issue with SSD card and it would need to be replaced. Please contact Flex VRA directly to coordinate a resolution.