Name:
Date:
TIMELINE FOLLOWBACK CALENDAR: 2009
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
2009
SUN
DY
MON
YR
MO
TUES
WED
THURS
1
J
4
5
A
11
12
N
M. Luther King
DY
New Year’s Day
YR
FRI
SAT
2
3
6
7
8
9
10
13
14
15
16
17
20
21
22
23
24
18
19
25
26
27
28
29
30
31
F
1
2
3
4
5
6
7
E
8
9
10
11
12
13
14
B
15
16
17
18
19
20
21
26
27
28
Pres. Day
Ash Wednesday
22
23
24
25
M
1
2
3
4
5
6
7
A
8
9
10
11
12
13
14
R
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
14
15
16
17
18
A
Easter
Easter Monday
St. Patrick’s Day
Passover
10
Good Friday
11
P
12
R
19
20
21
22
23
24
25
26
27
28
29
30
1
2
4
5
6
7
8
9
11
12
13
14
15
16
19
20
21
22
23
26
27
28
29
30
M
3
A
10
Y
17
24
31
Mother’s Day
13
18
25
Memorial Day
Valentine’s Day
Client ID:
2009
SUN
MON
TUES
WED
THURS
FRI
SAT
1
2
3
4
5
6
8
9
10
11
12
13
15
16
17
18
19
20
22
23
24
25
26
27
28
29
30
1
2
3
4
J
5
6
7
8
9
10
11
U
12
13
14
15
16
17
18
L
19
20
21
22
23
24
25
26
27
28
29
30
31
1
A
2
3
4
5
6
7
8
U
9
10
11
12
13
14
15
G
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1
2
3
4
5
S
6
7
8
9
10
11
12
E
13
14
15
16
17
18
19
P
20
21
22
23
24
25
26
29
30
1
2
3
J
7
U
14
N
21
Father’s Day
Labor Day
Yom Kippur
Independence Day
27
28
O
4
5
6
7
8
9
10
C
11
12
13
14
15
16
17
T
18
19
20
21
22
23
24
25
26
27
28
29
30
31
N
1
2
3
4
5
6
7
O
8
9
10
11
12
13
14
V
15
16
17
18
20
21
27
28
Election Day
Veterans Day
19
Thanksgiving
22
23
24
25
26
29
30
1
2
3
4
5
D
6
7
8
9
10
11
12
E
13
14
15
16
17
18
C
20
27
TLFB 2004
21
28
22
29
23
30
24
31
25
Rosh Hashanah
Halloween
Hanukkah
19
Christmas
26
New Year’s Eve
2