While auralization technology is used in a variety of fields, particularly in architectural acoustics, there is a lack of data on the auralization tools used and actual practices. In this perspective, this work presents the results of a survey study on auralization uses in the acoustical design and consulting community, targeting acoustical consultants. The objectives are (1) to identify the tools and methods used by acousticians to create auralizations as well as effective uses so as to understand the benefits and changes provided by this technology, and (2) to highlight the difficulties and limitations linked to the use of auralizations in concrete projects. Based on the theory of acceptability and use of technology, the study was conducted from a mix of quantitative and qualitative data collection approaches, combining a questionnaire answered by 74 respondents with semi-directed interviews with nine practitioners. Results highlight the main uses of auralizations, the diversity of projects in which auralizations are applied, and how auralizations are currently used in real-world situations. The benefits of using this technology, inherent weaknesses in the tools, and practical difficulties are also discussed.