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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 '�5� iN t-- <br />1 <br />Organization �'' ' j T L- <br />Mail Address <br />E -Mail <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />needl <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 />;E:f <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />❑ <br />0 <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />❑ <br />15L <br />1 <br />Financial Analyses (i.e., pricing water) <br />[1 <br />❑ <br />❑ <br />13 <br />Monitoring and Measuring <br />❑ <br />9 <br />❑ <br />❑ <br />❑ <br />❑ <br />Updates and Revisions <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Implementation <br />Communications /Pub_ licity /Messaging <br />El <br />El <br />�,f <br />�2 <br />❑ <br />❑ <br />Education <br />❑ <br />❑ <br />❑ <br />b <br />Outdoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />K <br />❑ <br />Leak Detection and Repair <br />❑ <br />❑ <br />❑ <br />❑ <br />;Ef <br />Alternative Water Supplies <br />❑ <br />❑ <br />❑ <br />❑ <br />:9 <br />Monitoring and Measuring <br />❑ <br />�< <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Implementation <br />❑ <br />❑ <br />❑ <br />❑ <br />