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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 <br />Name <br />Organization r l;; uJIJ o -- <br />Mail Address <br />E- Mai! <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no- <br />needl <br />1 <br />3 <br />5 <br />Information on Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />!I on Water Conservation Measures and Programs <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Piannina <br />General Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />It <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />ft <br />❑ <br />❑ <br />❑. <br />a <br />❑ <br />❑ <br />❑ <br />❑ <br />Updates and Revisions <br />Technical Support for WQter Conservation Implementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />0 <br />❑ <br />Education <br />❑ <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />Leak Detection and Repair <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />0 <br />❑ <br />❑ <br />Alternative Water Supplies <br />Monitoring and Measuring <br />`Kf <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Plannina <br />❑ <br />❑ <br />❑ <br />❑ <br />Flan ial S upport for Water Conservation Implementation <br />❑ <br />❑ <br />❑ <br />❑ <br />