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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 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 USD 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 USD See it in action 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

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.

Interactive conditioned play audiometry (CPA) games designed to help pediatric audiologists keep children engaged during hearing tests. Free CPA Games Download Flex Farm Game This application was developed for the Flex VRA but can be used on any Windows PC. This application will display various fruits on the screen that can be dragged to an animal to eat. When the task is completed, the animal will move and make a noise in response as a reward. This can be used during play audiometry so that when a child hears the sound, they can feed the animal of their choice. Download Bubble Game This application was developed for the Flex VRA but can be used on any Windows PC. This application will float bubbles on the screen and when "popped" (touched or clicked with a mouse), an animated cat will appear and music will play as a reward. Download SRT Board This application was developed for the Flex VRA but can be used on any Windows PC. This provides a visually reinforced SRT board that will move and play sound when correct selections are made by the patient. Download Flex Ball Game This application provides a "drop the ball in the bucket" game for pediatric patients to play during play audiometry. The application works both with a drag and drop mouse interface or a touch screen interface.

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. If you have questions, contact us at sales@flexvra.com . 1) Information We Collect Information you provide to us We may collect information you choose to share, including: Contact details (name, email, phone number, organization, job title) Inquiry details (messages submitted through forms, emails, or chat) Order and shipping details (billing/shipping address, purchase history) Support details (device information you share with support, troubleshooting notes, photos/videos you provide, and related communications) Marketing preferences (newsletter signups, communication preferences) Information collected automatically When you use the Site, we may automatically collect: Device and browser data (IP address, browser type, operating system, device identifiers) Usage data (pages visited, time on site, referring page, clicks) Approximate location (derived from IP address) Cookies and similar technologies We use cookies and similar technologies to operate the Site and understand usage. You can control cookies through your browser settings. Some features may not work properly if cookies are disabled. 2) How We Use Information We use the information we collect to: Provide and improve the Site and our products and services Respond to requests, questions, and customer support needs Process orders, payments, shipping, and returns Send service-related messages (order confirmations, updates, support communications) Send marketing communications (where permitted), and measure marketing performance Monitor, prevent, and investigate fraud, abuse, or security incidents Comply with legal obligations and enforce our terms and policies 3) How We Share Information We do not sell your personal information. We may share information in these situations: Service providers We may share information with vendors that help us run our business, such as: Website hosting and analytics providers Payment processors Shipping and logistics partners Customer support tools Email and marketing platforms These providers are authorized to use your information only as needed to provide services to us. Distributors and fulfillment partners If you purchase Flex VRA products through an authorized distributor (for example, E3 Diagnostics), or if fulfillment/support involves a partner, we may share information needed to process your request, fulfill the order, and support you. Legal and safety reasons We may disclose information if required by law, subpoena, or similar legal process, or if we believe disclosure is necessary to protect rights, safety, and security, or to investigate fraud. Business transfers If Flex VRA is involved in a merger, acquisition, financing, reorganization, or sale of assets, information may be transferred as part of that transaction. 4) Analytics, Advertising, and Tracking We may use analytics tools (such as Google Analytics or similar services) to understand how people use the Site. These tools may use cookies and collect usage data. We may also use advertising and conversion tracking tools (such as a Meta pixel, Google Ads, LinkedIn insight tag, or similar) to measure the effectiveness of our marketing. Depending on how your Site is configured, these tools may collect information about your visits and interactions. Your choices: You can disable cookies in your browser settings. You can opt out of certain interest-based advertising through industry opt-out tools (availability varies by region). 5) Email and Marketing Preferences You can opt out of marketing emails at any time by using the unsubscribe link in the email or by contacting us at sales@flexvra.com . Even if you opt out of marketing, we may still send non-promotional messages, such as order updates or support communications. 6) Data Retention We keep personal information as long as needed for the purposes described in this Policy, including to provide services, comply with legal obligations, resolve disputes, and enforce agreements. Retention periods vary depending on the type of information and why we collected it. 7) Security We use reasonable administrative, technical, and physical safeguards designed to protect personal information. No method of transmission or storage is 100% secure, and we cannot guarantee absolute security. 8) Children’s Privacy The Site is intended for a general audience and is not directed to children under 13. We do not knowingly collect personal information from children under 13. If you believe a child has provided personal information to us, contact us and we will take appropriate steps to delete it. 9) Your Privacy Rights Depending on where you live, you may have rights regarding your personal information, such as: Accessing the personal information we hold about you Requesting correction of inaccurate information Requesting deletion of certain information Objecting to or restricting certain processing Withdrawing consent (where processing is based on consent) To make a request, contact [privacy@flexvra.com ]. We may need to verify your identity before fulfilling certain requests. “Do Not Track” Some browsers offer “Do Not Track” signals. Because there is no consistent industry standard, our Site may not respond to these signals. 10) International Visitors If you access the Site from outside the United States, your information may be processed in the United States or other locations where we or our service providers operate. These locations may have different data protection laws than your jurisdiction. 11) Third-Party Links The Site may link to third-party websites or services. This Privacy Policy does not apply to those third parties. We encourage you to review their privacy policies. 12) Changes to This Policy We may update this Privacy Policy from time to time. The “Last updated” date above shows when it was last revised. Changes take effect when posted on this page. 13) Contact Us Flex VRA 100 E. Whitestone Blvd., St. 160 Cedar Park, TX 78613 Email: sales@flexvra.com Phone: 512-2549953

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

Learn about VRA calibration, reinforcer placement, and how to best position visual reinforcement audiometry equipment for optimal performance. One of the most common questions in pediatric audiology is whether a VRA system needs to be calibrated. The answer depends on what the term “calibration” refers to. Audio Calibration VRA equipment itself does not generate calibrated sound. The audiometer is the device responsible for delivering calibrated signals. As long as the audiometer is calibrated according to ANSI standards, the audio portion of the VRA test remains accurate. The VRA system simply presents the visual reinforcement once the child responds. Visual Calibration There is no formal visual calibration standard in Visual Reinforcement Audiometry. However, consistency matters. Clinics should verify that: • The left and right reinforcers activate at the correct moment • The reinforcers are bright and visible from the child’s position • The timing of activation matches the audiologist’s expectations Modern software-based systems make this easier because they remove the mechanical delays found in older VRA boxes. Positioning and Setup Although VRA systems do not require calibration in the same way an audiometer does, proper setup is essential. • Reinforcers should be placed at roughly 45 degrees to the child minimum to 90 degrees maximum • The height should match eye level • The center reinforcer should help maintain attention without overpowering the side reinforcers New features like House Rules in Flex VRA allow clinics to keep the center screen simple and add consistency to the test. When to Recheck Your VRA Equipment You should review your VRA system if you notice: • Delayed activation • Dim or inconsistent displays • Loose mounts or shifted positions • Software not responding correctly These checks help maintain accurate and repeatable VRA sessions. Summary A VRA system does not require formal calibration, but proper setup, clean activation timing, and consistent visibility are essential for reliable Visual Reinforcement Audiometry. Using well designed VRA equipment ensures accurate responses and smooth pediatric hearing evaluations. Does a VRA System Need Calibration?

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

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

Flex Screen Mirror allows audiologists to view and interact with audiometric data inside the booth during pediatric VRA testing. Flex Screen Mirror In-booth access to audiometric tools Brochure Installation Manual Screen Mirror allows audiologists to view and interact with audiometric data directly inside the booth. Review completed audiograms with patients inside the booth View a video otoscope directly on a Flex VRA monitor Support counseling with on-screen annotation, drawings, and visuals Control audiometric software during testing with a wireless keyboard How It Works Demonstration of screen mirror being used on a computerized audiometer Screen Mirror works on PCs and audiometers with HDMI video out. Not sure if your device is compatible? Contact sales@flexvra.com Demonstration of screen mirror being used with a GSI Video Otoscope Screen Mirror works with most video otoscopes that act as camera devices in Windows. Not sure if your device is compatible? Contact sales@flexvra.com

Buy Flex VRA, a modern visual reinforcement audiometry system designed for pediatric testing. View configurations, pricing, and authorized distributors. Buy Flex VRA Flex VRA is sold all over the world through authorized distribution partners For pricing, quotes, and local support, please contact the distributor for your region United States e3 Diagnostics Canada Electro-Medical Instruments (EMI) Australia Sonic Equipment New Zealand Diatec United Arab Emirates AMICO Group

Find clear answers to common audiology questions about VRA testing, calibration, and equipment. Learn how Flex VRA supports modern pediatric audiology. Frequently asked questions Questions about the Flex VRA company Questions of Purchasing Flex VRA Questions about the Flex VRA How long has Flex VRA been in business? Flex VRA shipped it's first commercial system in October of 2018. Who owns Flex VRA? Flex VRA is an independently owned LLC based in Cedar Park, TX. While we have partnered with a number of distribution partners throughout the years to bring Flex to clinics all over the world, Flex has always been and remains a private company.

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.