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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 ^ Qctc�aq <br />er- <br />Organization co <br />svc-t- c400 <br />Mail Address 1� 3 l t 0 In St !C'lz r or ( O g 0 103 - <br />E -Mail CANOE) 6 — ( ? , q 0 N 8100c Cc2r2n <br />Organizational Needs (check box the best represents your situation 1 being substantial need, 5 being no <br />need l <br />1 <br />3 <br />5 <br />Information on Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Information on Water Conservation Measures and Programs <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Consewation Planning <br />General Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Water, System Mapping and Evaluations i <br />❑ <br />❑ <br />❑ <br />Cl <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />❑ <br />❑ <br />11 <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Updates and Revisions <br />Technical Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />❑ <br />❑ <br />Ta <br />Education <br />❑ <br />❑ <br />❑ <br />❑ <br />1 <br />Outdoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />I <br />19 <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />k2 <br />Leak Detection and Repair <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Alternative Water Supplies <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />R <br />Financial Support for Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for-Water Conservation Implementation <br />13 <br />❑ <br />❑ <br />❑ <br />