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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 '� L-- "_� A-` <br />Organization C o- - +2 <br />Mail Address `Z S Z �v a. ��-� ��'e e� e''1 - y� 3 <br />E -Mail W C L.J 'Z�\sT"R C--r' �l J �5'� , t-\ ET: <br />Organizational Needs (check box the best represents your situation 1 being substantial need, 5 being no <br />n ocrl 1 <br />1 3 5 <br />Information on Water Conservation Planning ❑ ❑ ❑ ❑ <br />Information on Water Conservation Measures and Programs ❑ ❑ ❑ ❑ <br />Technical Support for Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />General Planning <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />❑ <br />El <br />❑ <br />Applicability of Specific Measures and, Programs <br />❑ <br />❑ <br />' K <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />L <br />Financial Analyses (i.e., pricing water) <br />❑ <br />❑ <br />❑ <br />❑ <br />A <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Updates and Revisions <br />❑ <br />❑ <br />❑ <br />❑ <br />_Technical Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />E <br />El <br />El <br />El <br />El <br />❑ <br />El <br />Education <br />❑ <br />1:1 <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />13 <br />� <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />Leak Detection and Repair <br />❑ <br />❑ <br />❑ <br />C1 <br />Alternative Water Supplies <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />Financial Support for Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Implementation <br />❑ <br />11 <br />❑ <br />❑ <br />