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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 r c nl rth mv Dt) ,W,`� b A4 A+ 4 hV d A �j �� d 1 --e v ' Y � <br />Organization Ago tj C rp \�+ ; -A <br />Mail Address M A� Nil fiifpFl (� Maf 0 otquAyi'F4 CON\ <br />E -Mail 2 9 � S� /f� (. 4 <br />Organizational Needs (check box the best represents your situation 1 being substantial need, 5 being no <br />need) <br />1 <br />3 <br />5 <br />Information on Water Conservation Planning <br />❑ <br />❑ <br />1�f <br />❑ <br />❑ <br />Information on Water Conservation Measures and Programs <br />❑ <br />❑ <br />V9 <br />❑ <br />❑ <br />Technical Support for Water Conservation Planning <br />General Planning <br />❑ <br />❑ <br />Z <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />Ek <br />❑ <br />❑ <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />5, <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />❑ <br />❑ <br />❑ <br />❑ <br />C9, <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />R <br />Updates and Revisions <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical S upport for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />❑ <br />qF <br />Education <br />❑ <br />❑ <br />❑ <br />❑ <br />59 <br />Outdoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />K <br />Leak Detection and Repair <br />❑ <br />❑ <br />❑ <br />❑ <br />Alternative Water Supplies <br />❑ <br />❑ <br />❑ <br />❑ <br />151 <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />0 <br />Financial Support for Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Implementation <br />❑ <br />❑ <br />11 <br />❑ <br />