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Water Conservation Workshops <br />Participant Survey <br />Information Regarding Potential Needs for Technical and Financial Assistance <br />Contact Information <br />Name <br />Organ <br />us <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />need) <br />Information on Water Conservation Measures and Programs <br />1 3 5 <br />❑ ❑ ❑ ❑' <br />❑ ❑ ❑ ❑ <br />Technical Support for Water Conservation Planning <br />General Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />Z <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />'R <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />❑ <br />❑ <br />JR <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />'79 <br />'� <br />❑ <br />❑ <br />❑ <br />❑ <br />Updates and Revisions <br />Technical Support for Water C on servation Implementation <br />Communications /Publicity/Messaging <br />❑ <br />❑ <br />;K <br />❑ <br />❑ <br />Education <br />:a <br />❑ <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />' R <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />' 14 - <br />❑ <br />❑ <br />❑ <br />Leak Detection and Repair <br />$T <br />❑ <br />❑ <br />❑ <br />❑ <br />Alternative Water Supplies <br />❑ <br />❑ <br />'1q <br />❑ <br />❑ <br />Monitoring and Measuring <br />g <br />❑ <br />❑ <br />❑ <br />❑ <br />L , W !7iP Te11reTA&V1 .y • 1 Il .iii,. i . <br />■ ■ ■ ■ 'i <br />