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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 5750 &425-R <br />Organization 11G 51ERRA nul3,_m4gxlop <br />Mail Address Box ` <br />E -Mail <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />needl <br />1 <br />3 <br />5 <br />Information on Water Conservation Planning <br />R( <br />❑ <br />❑ <br />❑ <br />❑ <br />Information on Water Conservation Measures and Programs <br />D <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Planning <br />General Planning <br />2 <br />❑ <br />❑ <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />id <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />d <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Updates and Revisions <br />❑ <br />❑ <br />Technical Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />9 <br />❑ <br />❑ <br />❑ <br />❑ <br />Education <br />E�f <br />❑ <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />CY <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />Leak Detection and Repair <br />0 <br />❑ <br />❑ <br />❑ <br />❑ <br />Alternative Water Supplies <br />❑ <br />❑ <br />Id <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />gd <br />❑ <br />Financial Support for Water Conservation Planning <br />❑ <br />d <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Implementation <br />❑ <br />Ed <br />❑ <br />❑ <br />❑ <br />