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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 <br />Organization <br />e- 41 <br />MailAddress- <br />Co <br />E-Mail Ziy'�kQxod'c' Ae. dAja'm <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />nt-pcil <br />Information on Water Conservation Planning <br />Information on Water Conservation Measures and Programs <br />Technical Support for Water Conservation Planning <br />General Planning <br />Water System Mapping and Evaluations <br />Applicability of Specific Measures and Programs <br />Financial Analyses (i.e., pricing water) <br />Monitoring and Measuring <br />Updates and Revisions <br />Technical Support for Water Conservation Implementation <br />Communications/Publicity/Messaging <br />Education <br />Outdoor Use <br />Indoor Use <br />Leak Detection and Repair <br />Alternative Water Supplies <br />Monitoring and Measuring <br />Financial Support for Water Conservati Planning <br />Financial Support for Water Conservation Implementation <br />3 5 <br />❑ <br />❑ <br />❑ <br />❑ <br />x <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />� <br />❑ <br />❑ <br />❑ <br />jo- <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />0- <br />0 <br />❑ <br />❑ <br />❑ <br />#g-- <br />0 <br />❑ <br />❑ <br />0, <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />-19- <br />❑ <br />❑ <br />1:1 <br />E— <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />0- <br />❑ <br />❑ <br />1:1 <br />❑ <br />❑ <br />0— <br />❑ <br />1:1 <br />B- <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />0- <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />