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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 �Jd �✓ /���G - <br />Organization <br />Mail Address <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 />informat'on on Water ConservaUon Planning <br />❑ <br />❑ <br />1 ❑ <br />❑ <br />Information on Water Conservation Measures and Programs <br />❑ <br />❑ <br />J2 <br />❑ <br />❑ <br />Technical Support for Water Conservation Planning <br />General Planning <br />❑ <br />❑ <br />19� <br />0 <br />❑ <br />Water System Mapping and Evaluations <br />.❑ <br />❑ <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />* <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />❑ <br />0 <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />15K <br />a <br />❑ <br />❑ <br />Updates and Revisions <br />13 <br />❑ <br />'� <br />❑ <br />❑ <br />Technical Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />)Fsr <br />❑ <br />❑ <br />Education <br />❑ <br />❑ <br />la- <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />0 <br />0 <br />❑ <br />0 <br />- Leak Detection and Repair <br />❑ <br />�Y <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Alternative Water Supplies <br />Monitoring and Measuring <br />❑ <br />,C& <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Planning <br />❑ - <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Implementation <br />13 <br />❑ <br />bir <br />❑ <br />13 <br />