China's large public buildings (LPBs) often become problematic after only a few years' operation, leading to shortened building lifespans. Lacking architectural programming was identified by the industry regulators as a contributing factor to this. Despite a policy shift on the government side since 2007, little evaluation of the actual situation has been made. To raise awareness and attention to this pressing issue from the building industry, its regulators and the general public, a questionnaire survey focusing on the top-tier sector of professional practice in programming LPBs was carried out in Shanghai, China in 2009. The objectives were to evaluate current trends and pressing issues, identify major challenges and opportunities, and make recommendations for improvement. This paper presents a six-part analysis of the survey's findings from 57 professionals and clients who shared their hands-on experience on various programming issues and provided first-hand data of 90 LPBs developed in the 2000s. This pioneering study revealed significant gaps between the real and best practices as well as the mental reluctance and skill mismatch in delivering quality programming services. Given the persisting nature of identified problems, more research work should be done to catalyze a paradigmatic shift among industry players.