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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 />Mail Address 7'?d. 2sx Z(o &n ( 'n tq©t %,= <br />E -Mail �(M TI-A ��� fin-Q1' cwt <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />need) <br />1 3 5 <br />Information on Water Conservation Planning <br />❑ <br />3 <br />❑ <br />❑ <br />❑ <br />Information on Water Conservation Measures and Progr <br />❑ <br />❑ <br />❑ <br />❑ <br />Tech Support for Water Conservation Planning, <br />General Planning <br />❑ <br />❑ <br />©' <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />❑ <br />❑ <br />01- <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />0 <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />C>ll� <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />Updates and revisions <br />❑ <br />❑ <br />❑ <br />❑ <br />Technic. al Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />2 <br />❑ <br />❑ <br />❑ <br />❑ <br />Education <br />❑ <br />19" <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />Gl--,' <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />a <br />❑ <br />Leak Detection and Repair <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />13 <br />Er <br />❑ <br />❑ <br />Alternative Water Supplies <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Implementation <br />❑ <br />R <br />❑ <br />❑ <br />❑ <br />