It would be nice if there was a Marketo Audit template or document. I think this should probably be done atleast annually. I imagine some people are not using status's in programs correctly among other things. If we had a simple checklist to go through, that would help.
Josh, we marked this idea as "Already Have It (Partially)" because our services team does offer a "Review & Optimize" package. You can email services@marketo.com for more information.