Skip survey header

Foodborne Complaint Survey

For people who live or have eaten in Wood County, Ohio

This survey is used to report foodborne illness complaints for food service facilities in Wood County, OH. Please include as much detail as possible when answering questions. If you would like to speak to someone with questions about this survey please contact us between our business hours of 8:30 a.m. to 4:30 p.m. by calling 419-354-4306.Report any concerns involving suspected food code violations to the office of Environmental Health at the Wood County Health Department by calling 419-354-2702 or e-mailing  Environmental@co.wood.oh.us. 
This question requires a valid date format of MM/DD/YYYY.
calendar
5. Address:
7. Do you work in any of these areas?
This question requires a valid date format of MM/DD/YYYY.
calendar
14. Do you have any leftover food?
15. Are you willing to submit a stool (poop) specimen?
This question requires a valid date format of MM/DD/YYYY.
calendar
This question requires a valid date format of MM/DD/YYYY.
calendar
20. What symptoms did you have (check all that apply)? *This question is required.
25. Did you seek any healthcare for this illness such as going to urgent care, your doctor, or emergency room?