The University of Missouri Extension needed to develop an annual program review process that collaboratively engaged county-level stakeholders. The results from the first 2 years highlight the results, challenges, and implications of the design process. The annual review process needs to be adaptive, responsive, and reflective from year to year when engaging with local stakeholders. For example, the 2012 program review process changed from the prior year to focus on participant mind mapping to better engaged stakeholders and to produces more detailed data. The process has ensured more engagement with local stakeholders and generated information helpful to regional faculty members.