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Water Conservation Workshops <br />Participant Survey <br />Information Regarding Potential Needs for Technical and Financial Assistance <br />Contact Information (to help us keep you current) <br />Name / /mot Swunso�l <br />Organization �c�I w1ua!' rroic�ovi l a lac, l tw,s� Iti�nI �nq <br />Mail Address / �� W. G � Sf�te f , 5 �i It 760 <br />E -Mail Warren 3 Sew► - i hc.. caws <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />need) <br />1 3 5 <br />Information on Water Conservation Planning, <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Information on Water Conservation Measures and Programs <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Pla�(ng <br />General Planning' <br />1 <br />­ 13 ; <br />❑ <br />❑ <br />0 <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />0 <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />0 <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />® <br />❑ <br />Updates and Revisions <br />❑ <br />❑ <br />® <br />❑ <br />❑ <br />Technical Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />0 <br />❑ <br />0 <br />❑ <br />❑ <br />Education <br />® <br />❑ <br />❑ <br />Q <br />❑ <br />Outdoor Use <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />® <br />❑ <br />❑ <br />❑ <br />1:1 <br />Leak Detection and Repair <br />® <br />❑ <br />❑ <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Alternative Water Supplies <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Planning <br />❑ <br />Financial Sul2port for W&tter C, onservation Implementation <br />❑ <br />❑ <br />❑ <br />❑ <br />