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Water Conservation Workshops <br />Participant Survey <br />Information Regarding Potential Needs for Technical and Financial Assistance <br />Contact I nformation (to help us keep you current) <br />Name P g <br />I <br />Organization as �e , <br />'S� <br />Mail Address 1 10 (In tA Y Ce '�.Jc" C6 ' 6(3102 ' . <br />E-Mail lo r c- S oo news c nw <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />need) <br />3 <br />5 <br />Information on Water Conservation Plan_ ning <br />❑ <br />❑ <br />❑ <br />Information on Water Conservation Measures and Programs <br />u <br />❑ <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 />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />1:1 <br />❑ <br />Financial Analyses (i.e., pricing water) <br />Gr <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />Er <br />❑ <br />❑ <br />❑ <br />Updates and Revisions <br />❑ <br />❑ <br />r_1 <br />❑ <br />Technical Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />0 <br />Er <br />❑ <br />❑ <br />❑ <br />Education <br />❑ <br />❑ <br />2" <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />❑ <br />R" <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />IR <br />❑ <br />11 <br />Leak Detection and Repair <br />11 <br />Alternative Water Supplies <br />9' <br />E] <br />❑ <br />13 <br />11 <br />Monitoring and Measuring <br />❑ <br />Or <br />❑ <br />11 <br />❑ <br />Financial Sul2pgrt for Water Con servation Planning <br />a <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Implementation <br />LY <br />❑ <br />❑ <br />❑ <br />❑ <br />