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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 �qvq <br />Organization u a C Vl • 1 n e eel r) <br />Mail Address i <br />E -Mail f'� m t Q U a e ir, <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 />❑ <br />❑ <br />❑ <br />❑' <br />Water System Mapping and Evaluations <br />DC <br />❑ <br />❑ <br />❑ <br />0- <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 />1 <br />J°� <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical ical Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />❑ <br />❑�yy <br />Education <br />❑ <br />❑ <br />❑ <br />❑ <br />1� <br />Outdoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />Leak Detection and Repair <br />❑ <br />❑ <br />❑ <br />❑ <br />Alternative Water Supplies <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Implementation <br />11 <br />❑ <br />❑ <br />❑ <br />