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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 COQ G dw,' 4 <br />Organization OSI <br />Mail Address 7 V ° S,'M�s `a'ew�t✓ �� y� <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 <br />on Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Information <br />on Water Conservation Measures and Programs <br />0 <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical <br />Support for Water Conservation Planning <br />General Planning <br />❑ <br />U <br />❑ <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />❑ <br />V <br />❑ <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />Updates and Revisions <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical <br />Support for Water Conservation Implementation <br />❑ <br />Communications /Publicity /Messaging <br />[3 <br />[2/ <br />0 <br />❑ <br />Education <br />❑ <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Leak Detection a nd R <br />❑ / <br />❑ <br />a� <br />❑ <br />Alternative Water Supplies <br />11 <br />0 <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial <br />Support for Water Conservation Planning <br />❑ <br />❑ <br />G/ <br />❑ <br />0 <br />Financial <br />- Support for Water Conservation Implementation <br />❑ <br />❑ <br />[Z <br />11 <br />❑ <br />