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Citizen Feedback

2. 
4. The City of Chickasha wants to hear from you. Your responses will be shared with Administration and City Council to help in future decision making and planning. If you have questions, please reach out to us at info@chickasha.org.
6. What can City leaders do to make Chickasha better for you?
8. What do you believe are three challenges facing the City of Chickasha and City Council?
10. What do you believe stops or slows progress being made in Chickasha?
12. What is at least one good thing you see in Chickasha?
14. What are you willing to do to make Chickasha a better place?
18. Contact Information
    If you would like a response or to be involved moving forward, please provide your name and at least one method of contact. Sharing your name and contact information is optional.
20. Name
21. Email
23. Phone
24. Ward
    -- Select One --Ward 1Ward 2Ward 3Ward 4
26. Address
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28. 1. Receive an email copy of this form.
29. Email address

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30. Submit

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