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Water Conservation Workshops <br />Participant Survey <br />Information Regarding Potential Needs for Technical and Financial Assistance <br />Contact Information <br />Name <br />Organization <br />Mail Address <br />heap us Keep you currents <br />/QUA / <br />UIy,T �:_ <br />E- Mail ����y�� <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />n- Ai <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 />d <br />❑ <br />Technical Support for Water Conservation Planning <br />General Planning <br />E] <br />El <br />1:1 <br />E� <br />El <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />❑ <br />El <br />Applicability of Specific Measures and Programs <br />C1 <br />11 <br />1:1 <br />a <br />Financial Analyses (i.e., pricing water) <br />❑ <br />❑ <br />❑ <br />© <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />[1 <br />❑ <br />❑ <br />1� <br />d <br />❑ <br />Updates and Revisions <br />Technical Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />El <br />13 <br />❑ <br />� <br />❑ <br />Education <br />E] <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />11 <br />Outdoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />❑ <br />El <br />� <br />❑ <br />Leak Detection and Repair <br />❑ <br />❑ <br />[I <br />❑ <br />Alternative Water Supplies <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />Financial Support for Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Implementation <br />❑ <br />❑ <br />❑ <br />0 <br />❑ <br />