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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 A cA rr !�,&N L +°, .Ac, Ar- <br />Mail Address fn ° <br />—� T <br />E -Mail 4 d �m �►�� b t� <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 />❑ <br />General Planning <br />❑ <br />M� <br />K <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />❑ <br />❑ <br />;9� <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />X <br />❑ <br />❑ <br />Updates and Revisions <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />❑ <br />❑0 <br />Education <br />❑ <br />Z <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />Q <br />❑ <br />C1 <br />A' <br />t] <br />❑ <br />[I <br />❑ <br />Leak Detection and Repair <br />❑ <br />❑ <br />. <br />❑ <br />0 <br />Alternative Water Supplies <br />Monitoring and Measuring <br />❑ <br />b <br />❑_ <br />❑ <br />Financial Support for Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />Q <br />Financial Support for Water Conservation Implementation <br />❑ <br />xr <br />❑ <br />11 <br />❑ <br />