While the Dubbo community is confident in the city's essential resources, only 45 per cent say they're satisfied with the range of medical services.
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The results of a recent community needs survey were included as part of the 2014/15 Mayoral State of the City address on Friday.
Mayor Mathew Dickerson said the number of people who stated there was an appropriate range of medical services was down 18 per cent from when the survey was last undertaken two years ago.
"It's good information that people see we don't have good enough medical facilities. It's not something that's council's responsibility, but it's our city," Cr Dickerson said.
In addition, 88 per cent said there was an appropriate range of educational facilities, which dropped by three per cent from 2013.
Cr Dickerson said the drop could have been due to increased expectations or a reflection of TAFE changes.
Of those surveyed, 90 per cent said they were happy with the city's essential services, which Cr Dickerson said he would classify as services like access to water and power.
Satisfaction with the elected councillors was at 69 per cent, an increase from two per cent at the last survey.
Cr Dickerson said it was an absolutely brilliant result compared to the 40 per cent satisfaction four years ago.
There was an 11 per cent rise in satisfaction with Dubbo City Council overall to 82 per cent.
Four years ago it was at 53 per cent, Cr Dickerson said.
Of those surveyed, 93 per cent said they had ample opportunity to have their say on council issues.
"We've gone out to the community and we've dragged opinions out. We've gone out to the community and encouraged them to tell us what they think," Cr Dickerson said.
"We're actually going out and seeking opinions from people."
In his address, Cr Dickerson said visitors to Dubbo, both overnight and for the day, had increased.
There were 523,000 annual overnight visitors, an increase of 29 per cent and 556,000 day visitors, which was up 22 per cent from last year.
"Only keeping them for an average of 1.3 nights. If we could keep them for even two nights it would make a dramatic difference," Cr Dickerson said.
There were 188,907 passengers Dubbo City Regional Airport during the year Cr Dickerson said, and an average of 158 flights in and out of Dubbo every week.
Cr Dickerson said the State of the City Report was about Dubbo as it stood right now, warts and all.