Previous surveys suggest that speech-in-noise (SIN) testing is underutilized, but little is known about practice patterns, facilitators, and barriers to SIN testing. Therefore, we conducted an online survey of U.S. audiologists’ SIN practice patterns. We obtained 275 responses from those who evaluate adults and 88 responses from those who evaluate pediatrics and adults. Results indicate that SIN testing is used more frequently and with greater confidence for adults than pediatrics. Differences in facilitators and barriers to SIN testing were also seen for adults versus pediatrics. The results may contribute to improved usage of SIN testing. The results of this SIN survey informed a Pilot study that is currently being funded by a CHAD Pilot Grant to see if the QuickSIN can be used as a pre-fitting tool to improve hearing aid selection, fittings, and outcomes.