Needs assessments are an important tool for informing organizational development efforts in Extension. The purpose of the study reported here was to identify problems faced by county units within UF/IFAS Extension during county program reviews. The findings were drawn from the reports created after five county units experienced program reviews in 2011. External problems with the potential to affect program quality were more numerous than internal problems. The persistent and widespread nature-beyond the counties studied-of the identified problems should create a sense of urgency within the Extension system to develop innovative and collaborative solutions.