Community Priorities Form

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City of Santa Maria
Public Safety & Quality of Life Services

Community Feedback Survey

Santa Maria is working hard to protect and maintain the City’s critical public safety and quality of life services, particularly anti-gang programs. As we begin to plan for our future, we want to hear from YOU. Please let us know what your priorities are by filling out a Community Feedback Survey TODAY.

Please check what items are important to you.

Please check what items are important to you:
Please check what items are important to you:
Other City services and priorities are important to me, and I would like to add this comment:
Contact Information:
Contact Information:

For more information, please visit our website at:

You can return this form by mail:

City of Santa Maria, Office of the City Manager

110 E. Cook Street, Santa Maria, CA 93454

Or fax the form to 805-349-0657

Or email the completed form to

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