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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 Lu a y - w as <br />Organization �QLA (9'tLri4a Z,()&V44 <br />Mail Address 7J �' t ✓D idmv O .- DA E) 13 <br />E -Mail q Y(,Q r • C.D Y✓� <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 />❑ <br />0 <br />❑ <br />❑ <br />❑ <br />Information on Water Conservation Measures and Programs <br />0 <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Planning <br />General Planning <br />❑ <br />[' <br />❑ <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />❑ <br />2 <br />❑ <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />R <br />❑ <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />11 <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 />❑ <br />Education <br />[Z <br />❑ <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />[0 <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />❑ <br />Leak Detection and Repair <br />© <br />❑ <br />❑ <br />❑ <br />❑ <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />Alternative Water Supplies <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Planning <br />[0 <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Implementation <br />M <br />❑ <br />❑ <br />❑ <br />❑ <br />