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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 -f <br />Organization 6Q^� 41-eek Xe-fo.- A- <br />Mail Address —7 4'� <br />E -Mail <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />need) <br />1 <br />3 <br />5 <br />Information on Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />ie <br />❑ <br />information on Water Conservation Measures and Programs <br />❑ <br />❑ <br />❑ <br />lW <br />❑ <br />Technical Support for Water Conservation Planning <br />General Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />❑ <br />LY <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />❑ <br />ED/ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />Updates and Revisions <br />11 <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />❑ <br />Ci/ <br />❑ <br />Education <br />❑ <br />❑ <br />❑ <br />m <br />❑ <br />Outdoor Use <br />❑ <br />❑ <br />❑ <br />Y <br />❑ <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />Leak Detection and Repair <br />❑ <br />13 <br />❑ <br />1:1 <br />❑ <br />11 <br />� <br />E( <br />❑ <br />❑ <br />Alternative Water Supplies <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />13 <br />❑ <br />Financial Support for Water Conservation ervation Planning <br />❑ <br />❑ <br />❑ <br />El <br />❑ <br />Financial Support for Water Conservation lmple e� ntation <br />❑ <br />❑ <br />❑ <br />I <br />❑ <br />