Complete this form to ask questions about what Social Work does and contributes at Wood County Society! Answers to these questions will be posted in the agency's monthly newsletter. If you would prefer that your questions not be included, there is a space for you to let us know. Feel free to leave your contact information if you want the Social Worker to follow up with you directly.

Date of Form

First and Last Name

Please type your social work question here:

I want the answer to my question to be included in the following month's agency newsletter. YesNo

If you would like the social worker to follow-up with an answer directly, please list your preferred email or phone number.