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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 curren <br />Name <br />OrgarTization <br />Mail Address <br />J <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 on Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Information on Water Conservation Measures and Programs <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Planning <br />General Planning <br />M. -I ❑ <br />❑ <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />a 1:1 <br />0 <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />� ❑ <br />❑ <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />ET� ❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />B ❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Updates and Revisions <br />Technical Su pport for Water Cooservation„implementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />❑ <br />❑ <br />Education <br />❑' ❑ <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />ell ❑ <br />❑ <br />❑ <br />❑ <br />Leak Detection and Repair <br />V � <br />Alternative Water Supplies <br />❑ <br />❑ <br />❑ <br />11 <br />❑ <br />Monitoring and Measuring <br />[e ❑ <br />❑ <br />Financial Support for Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Im !R em_ entation <br />Ind' ❑ <br />❑ <br />❑ <br />❑ <br />