Flex VRA ® is the only VRA system that directly integrates simultaneous video reinforcement and traditional toy reinforcement with the GSI AudioStar Pro and Interacoustics EVO audiometers . Simultaneous Video And Toy Control Included with Every Flex VRA® System No additional integration modules required Why This Matters Most audiometers only provide a limited number of VRA control buttons. Flex VRA® is the only platform that combines both video and toy reinforcement into a single audiometer-controlled workflow. Clinicians can instantly transition between reinforcement types using remote toggling, allowing greater flexibility based on patient attention and testing needs. GSI (Grason-Stadler) Audiostar Pro Flex VRA® enables direct control of both video reinforcement and toy reinforcement simultaneously with remote toggling. Using the dedicated VRA control buttons above the attenuator dial and a remote control, clinicians can operate up to six reinforcers directly from the audiometer, creating a seamless pediatric testing workflow. This exclusive Flex VRA® integration was designed specifically for modern pediatric audiology workflows using the GSI AudioStar Pro. Interacoustics EVO Flex VRA® directly integrates with Interacoustics EVO, providing native control of simultaneous video and toy reinforcement during VRA testing through the use of remote toggling. Clinicians can operate left and right toy and video reinforcement configurations directly within Interacoustics Suite, allowing a fully integrated pediatric audiology workflow. Only Flex VRA® combines simultaneous video VRA and traditional toy VRA into a single integrated audiometer-controlled platform.

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

Download Flex VRA software updates, manuals, setup guides, and support resources for your Visual Reinforcement Audiometry systems. Downloads 2026 Catalog Flex Halo Brochure - Product overview and specifications Installation and User Manual -Guide for installers and end users Flex VRA VROCA Button Brochure -Product overview for clinic decision makers Installation and User Manual -Guide for installers and end users Brochure - Product overview and specs for clinic decision makers Installation and User Manual - Guide for installers and end users Remote Control Pairing Guide - Guide for Installers Integration Cable Pairing Guide (Audiostar Pro and EVO) - Technician Support Flex VRA Video Monitor Cleaning and Caring Guidelines- Guide for End Users Screen Mirror Brochure - Product overview and specs for clinic decision makers Installation and User Manual -Guide for installers Flex PC Download Flex PC (For use on installation of new VRA with Flex PC transmitter. Contact us if adding Flex PC on to an existing system) Brochure Installation Instructions - Installation guide for technicians and end users PC Pairing Guide Flex Integration Cable Integration Cable Pairing Guide and Setup - Guide for installers and end users Setting Up Interacoustics Suite to Work with Flex VRA - Guide for installers and end users Flex Toy Brochure - Product overview and specs for clinic decision makers Installation and User Manual -Guide for installers and end users Remote Control Pairing Guide Installation and User Manual IR (purchased before 2025) - Guide for installers and end users. Integration Cable Pairing Guide and Setup - Guide for installers and end users Flex Mobile Brochure - Product overview and specs for clinic decision makers Installation and User Manual Remote Control Pairing Guide - Guide for Installers Flex Speaker Brochure - Product overview and specs for clinic decision makers Installation and User Manual - Guide for installers and end users Installation Video Demo - Short video demo for Flex Speaker installers Flex Window Cover Brochure - Product overview and specs for clinic decision makers Installation Manual - Installation guide for technicians and end users. Remote Control Pairing Guide Video Tutorial: Installing Flex Window or Door Cover Video Tutorial: Setting Upper and Lower Limits on Window Cover

Peer-reviewed research and published literature referencing modern, software-enabled visual reinforcement audiometry approaches, including Flex VRA. Relevant Research and Literature If you are conducting or planning research related to visual reinforcement audiometry, conditioned play audiometry, or operant control approaches, and would like to discuss resources or technical considerations, you are welcome to get in touch . Concepts related to modern, software-enabled visual reinforcement audiometry have been referenced in published research, including: Bonino AY, Hemann A, Mood D, Kay E, Pancoast ES, Sommerfeldt KK. Visual reinforcers designed for children with developmental disabilities. Journal of Early Hearing Detection and Intervention. 2021 Apr 22;6(1):69–76. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC8061901/ This scoping review examines factors that influence the effectiveness and optimization of visual reinforcement audiometry in pediatric hearing assessment. Visram, A., Jackson, I., Almufarrij, I., Stone, M., & Munro, K. (2024). Optimisation of visual reinforcement audiometry: a scoping review. International Journal of Audiology. Optimisation of visual reinforcement audiometry: a scoping review This document presents the British Society of Audiology’s recommended procedure for visual reinforcement audiometry, outlining clinical standards for test setup, execution, and interpretation. British Society of Audiology. Recommended Procedure: Visual Reinforcement Audiometry. Visual Reinforcement Audiometry RP by the BSA, January 2024. https://www.thebsa.org.uk/wp-content/uploads/2024/01/OD104-37-BSA-RP-Visual-Reinforcement-Audiometry-v2.pdf This presentation hosted by Audiology Online covers the new tools and strategies for Visual Reinforcement Audiometry available from Flex VRA. New Tools and Strategies for Visual Reinforcement Audiometry | 39687 Course 39687

View the Flex VRA Terms and Conditions covering purchases, warranties, website use, and customer responsibilities. Terms and Conditions Flex VRA (“Flex VRA,” “we,” “us,” or “our”) values your privacy. This Privacy Policy explains what information we collect when you visit our website (the “Site”), contact us, or purchase our products and services, how we use it, and the choices you have. 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Flex PC provides wireless control of Flex VRA systems, allowing audiologists to manage reinforcement and workflows directly from a computer. Turn Your Keyboard Into a VRA Remote Control Flex PC lets audiologists trigger VRA directly from their keyboard using fully customizable hotkeys. Included with every Flex VRA System. Download Flex PC User Guide Trigger Reinforcement Instantly Using Keyboard Hotkeys Example Custom Configuration Left Reward Center Reward Right Reward Keep Your Hands On The Keyboard And Your Eyes On The Patient. Faster reinforcement helps maintain engagement and keeps testing on track. No Separate Remote. No Broken Workflow. No Lost Focus. ✓ Custom hotkey control ✓ Wireless operation ✓ Instant reinforcement activation ✓ Works alongside computerized audiometers ✓ Included with every Flex VRA system Specifications Required Operating System Windows 10 or Higher Transmitter Connection USB-A Transmitter Power Requirements 5V USB Transmitter Range 15 Meters Signal Transmission Paired 433 MHz Radio Frequency Warranty Period 2 years

Flex Toy is a simple, clinic-ready VRA toy designed to maintain engagement through variation during pediatric visual reinforcement audiometry testing. Designed and assembled in Austin, Texas • Distributed worldwide • Prices shown in USD. International pricing will vary based on shipping, duties, taxes, and local installation fees. Traditional VRA Toys Repeat. Flex Toy Changes. Unlike traditional VRA toys that repeat the same response every time, Flex Toy creates changing light patterns on each activation to maintain novelty and engagement throughout testing. William Baron, Au.D. I absolutely love the new wireless system. It has been great in the clinic. It really gets the children’s attention, and has helped me perform even better in the clinic! Jack Hitchens, Au.D. The extra lights are very helpful during the initial conditioning to the task. I was unsure about the school bus toy, but our unscientific research shows they seem to be more interested in it than the Disney characters. Flex Toy Configurations R=Right L=Left C=Center FLEXTOY-C FLEXTOY-RL FLEXTOY-RLC Point of View Demonstration Single Center Box 2 Remote Controls Flex PC Audiometer Integration $1,250 USD Right and Left Boxes 2 Remote Controls Flex PC Audiometer Integration $2,250 USD Right, Left, and Center Boxes 2 Remote Controls Flex PC Audiometer Integration $2,950 USD 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. Get Flex Toy Quote Flex Toy Brochure Included With Flex Toy Cat (Left) Flex PC Dog (Center) Remote Control (2) Bus (Right) Audiometer Integration Optional Character Packages Add additional character sets — $150 USD per package (5 characters) Flex Toy's lift up cover is designed to make swapping characters between tests easy. Toy Story Cars Mickey and Friends Princesses The Remote Two Remote Controls Included With Every Flex Toy VRA TOY VIDEO For use with Flex VRA video systems For use with Flex VRA video systems ACTIVATORS Left (Blue), Right (Red), and Center (Green) LIGHTS ON/OFF Toggle the surrounding flashing LED light bar on/off LIGHTS ONLY For use with Flex VRA video systems For use with Flex VRA video systems. CUSTOM VOLUME CONTROL Volume up, down, and mute control of the VRA boxes DISTRACT Use the VRA box as a focal point to keep patients still during tympanometry, otoscopy, or OAE testing. Specifications 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 10 inch (L) x 8 inch (W) x 10 inch (H), 1 lbs Warranty 2 Years

VROCA is a pediatric VRA response button designed to support consistent, child-initiated responses during visual reinforcement audiometry testing. Comparison of VRA, CPA, and VROCA testing Test Type Typical Age Patient Response Reinforcement VRA Infants, toddlers Head turn Lighted toy or animation CPA Young children Play task Game-based reward VROCA Older children, adults Operant response Visual video reinforcement Learn how VRA compares to CPA in pediatric audiology. Better engagement By reinforcing correct responses with visual content, VROCA keeps patients engaged without over-stimulating the test environment. Clinicians gain greater confidence in responses while patients experience a clearer, more intuitive testing process. Every Flex VRA's software is built-in with VROCA functionality once a wireless and battery-free VROCA button is plugged into it. Plug and play, literally. Flex VROCA Button VROCA Audiology Testing (Visual Reinforcement Operant Conditioning Audiometry) Brochure Visual Reinforcement Operant Conditioning Audiometry (VROCA) is a behavioral hearing test used for older children and adults who are unable to reliably complete traditional VRA audiometry . Instead of requiring a simple hand raise or button press alone, VROCA combines an operant response with a visual reward, improving attention, compliance, and response accuracy. How to Conduct VROCA Testing VROCA testing combines an operant response with visual reinforcement to support attention and response reliability. Before testing begins, the patient is instructed to perform a simple action, such as pressing a response button, whenever they hear a sound. With the Flex VROCA button, that button press will automatically trigger the Flex VRA to activate. Once conditioning is established, each correct button press response triggers a brief visual reinforcer. The clinician can suppress the reinforcer at any time to ensure reinforcement occurs only when appropriate. This helps preserve the conditioning relationship and prevents accidental reinforcement during setup or repositioning. Below is an example of VROCA being conducted on a Flex VRA system. Note how when incorrect button presses are made, the VRA does not reinforce, and the patient is instructed to wait until they hear the tone. Throughout testing, reinforcement duration can be adjusted on the Flex VRA to match the patient’s attention span. Shorter reinforcement intervals help maintain focus, while longer intervals may be useful during initial conditioning or with patients who require additional engagement. In audiology, VROCA is particularly useful when traditional audiometry or conditioned play testing results in inconsistent responses, allowing clinicians to obtain more reliable behavioral thresholds with fewer repeated instructions. Features Wireless A wireless button reduces distraction during VROCA testing by eliminating cables that can interfere with posture, attention, and engagement. It also protects your Flex VRA from being pulled on by an attached cable. For pediatric patients, this supports more natural responses and improves consistency throughout the test session. Suppression Holding down the Custom button temporarily suppresses stimulus activation, giving clinicians precise control over when reinforcement is delivered. This prevents accidental or premature reinforcement and helps preserve the conditioning relationship until testing is ready to begin. Time Reinforcement duration can be customized from 2 to 10 seconds through the Flex VRA service menu, giving clinicians control over stimulus length to match patient attention span and reduce over-engagement. Frequently Asked Questions What does VROCA stand for in audiology? VROCA stands for Visual Reinforcement Operant Conditioning Audiometry. What age is VROCA used for? VROCA is typically used for older children and adults who are unable to reliably complete traditional audiometry or conditioned play testing. Is VROCA the same as VRA? No. VROCA requires an operant response, while VRA relies on a head-turn response to sound. Is VROCA appropriate for neurodivergent patients? Yes. VROCA is commonly used with patients who have attention, developmental, or sensory challenges, where traditional testing methods may be difficult to complete reliably.

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 USD FLEX-DOORCOVER Electric rolling cover 6 ft x 18 in Magnetic mounts Wireless remote control USB C charging cable $800 USD 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 what Visual Reinforcement Audiometry (VRA) is, how it works, and why it's the standard hearing test for infants and toddlers. Flex VRA: A Modern Visual Reinforcement Audiometry System Overview Flex VRA is a modern visual reinforcement audiometry system used in pediatric audiology clinics to assess hearing in infants and young children through visual reinforcement. The system is designed to support reliable behavioral responses during hearing evaluations by presenting engaging visual stimuli when an auditory response is detected. What problem visual reinforcement audiometry solves Visual reinforcement audiometry is commonly used to assess hearing in children who are too young for conditioned play audiometry or standard behavioral testing. Traditional VRA systems often present challenges such as: Limited stimulus variety, which can reduce engagement over repeated trials Fixed or mechanical reinforcers that cannot adapt to different patients Rigid room layouts that restrict monitor placement or test configuration Flex VRA was developed to address these limitations while preserving the core clinical principles of VRA testing. How Flex VRA differs from traditional VRA systems Flex VRA is designed as a software-driven alternative to traditional toy-based or mechanically reinforced VRA systems. Key differences include: Visual reinforcement delivered through digital stimuli rather than fixed toys Multiple stimulus options available within a single test session Greater flexibility in system configuration and room layout Consistent stimulus presentation without mechanical wear or maintenance The goal is not to replace established VRA methodology, but to modernize how visual reinforcement is delivered in the clinic. Who uses Flex VRA Flex VRA is used by clinicians and institutions that perform pediatric hearing evaluations, including: Pediatric audiologists Children’s hospitals University audiology clinics ENT practices offering pediatric diagnostic services The system is designed to integrate into standard audiometric workflows without changing how clinicians conduct testing. Clinical considerations Flex VRA functions as a visual reinforcer and does not perform sound generation, calibration, or audiometric measurement. The system: Does not replace an audiometer Does not require independent calibration Is used alongside existing audiometric equipment This allows clinics to adopt Flex VRA without altering established testing protocols. Adaptability and workflow Flex VRA supports a wide range of patient behaviors and attention levels by allowing clinicians to vary visual reinforcement during a session. This flexibility can be especially useful for: Patients with reduced attention span Children who habituate quickly to static reinforcers Clinics that test a wide range of ages and developmental levels Optional advanced features may be used when appropriate, but the system is designed to function effectively without them. Summary Flex VRA is a modern visual reinforcement audiometry system designed to support pediatric hearing assessments through flexible, software-based visual reinforcement. By modernizing how visual stimuli are delivered, Flex VRA helps clinics maintain engagement while preserving the core principles of VRA testing. About Flex VRA Flex VRA systems are used in pediatric audiology clinics and medical centers worldwide and are distributed through established audiology suppliers . The system is designed to evolve with clinical needs while remaining compatible with standard audiometric practices.

Discover Flex VRA — a modern Visual Reinforcement Audiometry system designed for pediatric clinics. Flexible, clinician-led, and trusted in 1000+ clinics worldwide. Flex Halo For years, pediatric audiologists had to choose. Toy? Video? Both? Now the choice is clear. Literally. Starting at $3,750 USD See it in action "I absolutely LOVE Flex VRA! Complete game-changer." Kelly Jobe, Au.D., Stephen F. Austin University Designed and assembled in Austin, Texas • Distributed worldwide • Prices shown in USD. International pricing will vary based on shipping, duties, taxes, and local installation fees. Flex VRA Dynamic Video VRA Starting at $2,450 USD Discover Flex VRA Flex Toy Toy VRA thoughtfully updated Starting at $1,250 USD Discover Flex Toy Flex Toy Flex Halo Flex VRA Which VRA system is right for you? Compare Flex VRA platforms Good Traditional Toy Reinforcement Better Video, Lights, and Custom Reinforcement Best All reinforcement modes in one system Video, 3D toy, lights, and custom content Static reinforcer with changing LED light patterns on each activation Ideal for clinics seeing a low amount of pediatric patients Ideal for any booth size Starting at $1,250 USD See it in action Videos of animals, cartoons, toys and custom content with LED light bar Ideal for a mix of pediatric and non-pediatric patients Ideal for any booth size or mobile Starting at $2,450 USD See it in action High-contrast video, lifelike changing 3D toy, custom content and LED lightbar Ideal for high volume or exclusively pediatric patients Ideal for booths 6' x 6' or larger Starting at $3,750 USD 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 . Flex Window Cover Visual control for sound booths. Keeps the visual environment controlled during testing. $800 USD Discover Flex Window Cover Accurate sound where it matters. Flex Speaker A reliable speaker option commonly used in VRA testing environments. $650 USD Discover Flex Speaker Trusted by 1000+ pediatric clinics worldwide

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. No Captions 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. Captions No Captions 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. Captions No Captions 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. Captions No Captions 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. Captions No Captions Oakley Get's His First Hearing Aid Introduces children to the experience of getting a hearing aid and the importance of consistent daily use. Inspired by Dr. Lisa Rylant, Au.D's children's book, Oakley Gets a Hearing Aid. Learn more about Oakley and the child-friendly resources she provides for pediatric patients at meetoakly.com . 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. Captions 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