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A. Site Information
Organization Name:Varick Memorial Food Pantry
Address120 Atlantic Street
Hackensack, New Jersey 07601
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Location TypeFood Pantry
Estimated number of guests served weekly100
Estimated number of guests served annually:5470
Estimated number of unique guests served annually: (Unique= First time guest)790
Please enter the estimated number of guests in each age range below
0-18 19-34 35-50 51-64 65+
207 340 - 19 0
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
5 72 4 5 5
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
50 50 60
What percentage of guests you consider low income? (%)60
How do you measure low income?

self reported by neighbors

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?

The biggest challenge is a lack of information besides personal experience. having vetted science driven information would be helpful

C. Social Determinants of Health (SDOH) Screening
Please enter the unique number of guests you serve in each category:
Income
-
Income74
Education0
Unemployment0
Food Insecurity14
Housing, Basic Amenities (including build environment)0
Early Childcare Development0
Access to Affordable Health Service0
Transportation0
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