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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 tn te 6) Y <br />Organization <br />Mail Address O lJC>>c tit' C-) j /, (� <br />E -Mail J b S 1 IV& � <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 />0 <br />❑ <br />❑ <br />❑ <br />❑ <br />Information on Water Conservation Measures and Programs <br />ET <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Planning <br />General Planning <br />OT' <br />❑ <br />❑ <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />[I <br />❑ <br />❑ <br />❑ <br />❑ <br />Appl icability of Specific Measures and Programs <br />❑" <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 />Updates and Revisions <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />❑ <br />❑ <br />Education <br />il" <br />❑ <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />a <br />❑ <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />13' <br />❑ <br />❑ <br />❑ <br />❑ <br />Leak Detection and Repair <br />a <br />❑ <br />❑ <br />❑ <br />❑ <br />Alternative Water Supplies <br />0- <br />❑ <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />2"' <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Implementation <br />L� <br />❑ <br />❑ <br />❑ <br />❑ <br />