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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 <br />Organization — n rC r - -- <br />Mail Address 4 k Fa 0 3 <br />E -Mail _ a / 0 U' A 1 D�S9�0Q r�I - 6 M <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 Plannina <br />❑ <br />❑ <br />❑ <br />❑ <br />EY <br />Information on Water Conservation Measures and Programs <br />❑ <br />❑ <br />❑ <br />❑ <br />19' <br />Technical Support for Water Conservation Planning <br />General Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />❑' <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />❑ <br />❑ <br />0- <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />❑ <br />❑ <br />a <br />Financial Analyses (i.e., pricing water) <br />❑ <br />❑ <br />❑ <br />❑ <br />❑' <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />EY <br />Updates and Revisions <br />❑ <br />❑ <br />❑ <br />❑ <br />a <br />Technical Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />❑ <br />❑ <br />0" <br />Education <br />❑ <br />❑ <br />❑ <br />❑ <br />iv <br />Outdoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />El- <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />0�_ <br />Leak Detection and Repair <br />❑ <br />❑ <br />❑ <br />❑ <br />a <br />❑ <br />❑ <br />❑ <br />❑ <br />[a- <br />Alternative Water Supplies <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />0 <br />Financial Support for Water Conservation Implementation <br />❑ <br />❑ <br />❑ <br />❑ <br />� <br />