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Water Conservation Workshops <br />Participant Survey <br />Information Regarding Potential Needs for Technical and Financial Assistance <br />Contact Information (to <br />Name -A J * fi <br />us <br />Organization <br />Mail Address D Pc-,X, <br />E -Mail <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 />Technical Support for Water Conservation Planning <br />General Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />❑ <br />® <br />❑ <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />12 <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />[ <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Updates and Revisions <br />Technical Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />a <br />17 <br />❑ <br />Education <br />El <br />11 <br />a <br />11 <br />1:1 <br />Cl <br />❑ <br />® <br />11 <br />❑ <br />Outdoor Use <br />❑ <br />E3 <br />� <br />1:1 <br />1:1 <br />I ndoor Use <br />13 <br />❑ <br />13 <br />1:1 <br />11 <br />Leak Detection and Repair <br />❑ <br />13 <br />El <br />1:1 <br />Alternative Water Supplies <br />❑ <br />❑ <br />❑ <br />13 <br />Monitoring and Measuring <br />Financial Support for Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Implementation <br />❑ <br />❑ <br />/ JSi <br />❑ <br />13 <br />