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A. Site Information
Organization Name:St Matthews Food Pantry
Address555 Prospect Avenue
Ridgefield, New Jersey 07657
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Location TypeFood Pantry
Estimated number of guests served weekly35
Estimated number of guests served annually:1000
Estimated number of unique guests served annually: (Unique= First time guest)0
Please enter the estimated number of guests in each age range below
0-18 19-34 35-50 51-64 65+
10 10 10 10 10
Please enter the estimated number of guests per year in each race category below
White/Caucasian Hispanic Black/African American Asian Middle East/North African
10 80 56 3 2
Please enter the estimated number of guests per year in each income range below
0-$14,999 $15,000-$24,999 $25,000-$34,999 $35,000-$49,999 $50,000-$74,999 $75,000+
- - - - - -
Please enter the estimated number of guests per year who qualify for income-based assistance under the following programs
SNAP WIC Other
85
What percentage of guests you consider low income? (%)90
How do you measure low income?

They tell us when they sign in

B. Baseline Readiness
Does your site currently display any diabetes-related materials?No
How confident are staff in discussing diabetes with guests?
Very ConfidentConfidentSomewhat ConfidentSlightly ConfidentNot Confident
Does your site currently refer guests for diabetes testing or care?No
What challenges do staff currently face when providing diabetes-related information or referrals?

We do not ask any health related questions

C. Social Determinants of Health (SDOH) Screening
Income0
Education0
Unemployment0
Food Insecurity1000
Housing, Basic Amenities (including build environment)0
Early Childcare Development0
Access to Affordable Health Service0
Transportation0
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