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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 / 'L <br />Organization (� <br />Mail Address 4L b4,1 1 Y e 11 1 n kir A S r , rJ•ro� <br />E -Mail <br />Organizational Needs (check box the best represents your situation 1 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 />❑ <br />❑ <br />❑ <br />❑ <br />Sup1ort for Water Conservation Planning <br />,Technical <br />General Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />❑ <br />❑ <br />❑ <br />❑ <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 />❑ <br />❑ <br />❑ <br />Communications /Publicity /Messaging <br />Education <br />❑ <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />0 <br />❑ <br />❑ <br />❑ <br />Leak Detection and Repair <br />❑ <br />P <br />❑ <br />❑ <br />❑ <br />Alternative Water Supplies <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial <br />Sugport for Water Conservation <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial <br />Support for Water Conservation Implementation <br />11 <br />❑ <br />❑ <br />❑ <br />