Name/ID#:
Date:
TIMELINE FOLLOWBACK CALENDAR: 2012
1 Standard Drink is Equal to
One 12 oz
can/bottle
of beer
One 5 oz glass of
regular (12%)
wine
1 mixed or straight
drink with 1 ½ oz
hard liquor
1 ½ oz of hard liquor
(e.g. rum, vodka,
whiskey)
Complete the Following
Start Date (Day 1):
End Date (yesterday):
MO
2012
SUN
1
J
New Year’s
8
DY
MON
2
9
M. L. King
YR
MO
TUES
WED
DY
THURS
YR
FRI
SAT
3
4
5
6
7
10
11
12
13
14
17
18
19
20
21
A
15
16
N
22
23
24
25
26
27
28
29
30
31
1
2
3
4
5
6
7
8
9
10
11
15
16
17
18
22
23
24
25
2
3
F
E
B
12
13
19
20
14
Presidents’ Day
21
Valentine’s Day
Ash Wednesday
26
27
28
29
1
M
4
5
6
7
8
9
10
A
11
12
13
14
15
16
17
R
18
19
20
21
22
23
24
25
26
27
28
29
30
31
A
1
2
3
4
5
6
P
8
9
10
11
12
13
14
R
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
1
2
3
4
5
7
8
9
10
11
12
14
15
16
17
18
19
22
23
24
25
26
29
30
31
M
Easter
6
A
13
Y
20
27
Mother’s Day
21
28
Memorial Day
Good Friday
7
St. Patrick’s Day
Passover
TLFB 2012
2
2012
SUN
J
3
U
10
N
17
Father’s Day
24
MON
TUES
WED
THURS
FRI
SAT
1
2
4
5
6
7
8
9
11
12
13
14
15
16
18
19
20
21
22
23
25
26
27
28
29
30
5
6
7
Independence Day
J
1
2
3
4
U
8
9
10
11
12
13
14
L
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1
2
3
4
A
5
6
7
8
9
10
11
U
12
13
14
15
16
17
18
G
19
20
21
22
23
24
25
26
27
28
29
30
31
1
4
5
6
7
8
11
12
13
14
15
18
19
20
21
22
Labor Day
S
2
3
E
9
10
P
O
Rosh Hashanah
16
17
23
24
25
26
27
28
29
30
1
2
3
4
5
6
9
10
11
12
13
Columbus Day
C
7
8
T
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1
2
3
4
5
6
7
8
9
10
12
13
14
15
16
17
23
24
N
O
V
D
11
Veterans’ Day
Election Day
Halloween
Thanksgiving
18
19
20
21
22
25
26
27
28
29
30
1
2
3
4
5
6
7
8
10
11
12
13
14
15
19
20
21
22
26
27
28
29
Hanukkah
E
9
C
16
23
30
17
24
31
18
Christmas Eve
New Year’s Eve
25
Christmas