Nudge Pantry Program
The Nudge Pantry program promotes nutrition and healthy eating in a food pantry setting. Nudges are low-cost strategies that increases the availability and promotion of healthy foods. Our goal for Nudge Pantry's are to increase the distribution of healthy foods through “nudges,” which include food bundling, signage/posters, recipe card display, shelf tags and/or food demonstrations.
Organization's Name
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Are you a current Partner Agency of the North Texas Food Bank?
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Yes
No
Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact Name
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First Name
Last Name
Primary Contact Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Primary Contact Email
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example@example.com
Is at least 50% of your guests considered low-income?
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Yes
No
What race/ethnicities does the food pantry serve? Choose all that apply.
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American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Latin
Other
What is the ethnicity of the African pantry participants?
Ethiopian
Kenyan
South African
Other
What is the ethnicity of the Latin pantry participants?
Brazilian
Caribbean
Mexican
Spanish
Puerto Rican
Other
What is the ethnicity of the Asian pantry participants?
Burmese
Filipino
Indian
Japanese
Korean
Laotian
Taiwanese
Thai
Vietnamese
Chinese
Other
What age range(s) does the food pantry serve?
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0 - 4 years old
5 - 18 years old
19 - 59 years old
60 years and older
Other
Current Pantry Distribution Model
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Please Select
Client-Choice
Drive-Through
Walk-Up
Drive-Through/Walk-Up
Number of distributions per month
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Number of unduplicated individuals served per month
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Pounds of food distributed per month
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Is there a reliable choice supply of healthy foods?
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Yes
No
What is the overall variety of fresh vegetables in the pantry? (Count each type of vegetable as one type.)
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Limited, I usually only have 1 type of vegetable.
Moderate, 2-4 types.
Wide variety, more than 4 types.
What is the overall variety of fresh fruits in the pantry? (Count each type of fruit as one type.)
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Limited, I usually only have 1 type of fruit.
Moderate, 2-4 types.
Wide variety, more than 4 types.
What is the overall variety of lean protein in the pantry? (Count each type of lean protein as one type.)
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Limited, I usually only have 1 type of lean protein.
Moderate, 2-4 types.
Wide variety, more than 4 types.
What is the overall variety of dairy in the pantry? (Count each type of dairy as one type.)
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Limited, I usually only have 1 type of dairy.
Moderate, 2-4 types.
Wide variety, more than 4 types.
What is the overall variety of whole grains in the pantry? (Count each type of whole grain as one type.)
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Limited, I usually only have 1 type of whole grain.
Moderate, 2-4 types.
Wide variety, more than 4 types.
Does the pantry have appropriate food items that address the specific needs of the population it serves?
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Yes
No
If no, why not?
Does the pantry staff or volunteers educate, encourage, or assist clients to select nutritious food items?
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Yes
No
If no, why not?
Does the pantry have nutritional guidelines for food brought into the pantry and that is distributed to pantry participants?
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Yes
No
If no, why not?
Please list any potential challenges or barriers your pantry might face in participating in the Nudge Pantry program.
Nudge Pantry Partner Representative
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North Texas Food Bank Representative
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