Name/ID#:
Date:
TIMELINE FOLLOWBACK CALENDAR: 2010
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
2010
SUN
DY
MON
YR
MO
TUES
WED
DY
THURS
FRI
1
J
3
4
A
10
11
N
F
M. Luther King
YR
New Year’s
SAT
2
5
6
7
8
9
12
13
14
15
16
19
20
21
22
23
17
18
24
25
26
27
28
29
30
31
1
2
3
4
5
6
9
10
11
12
13
16
17
18
19
20
7
8
Valentine’s Day
President’s Day
E
14
B
21
22
23
24
25
26
27
28
1
2
3
4
5
6
7
8
9
10
11
12
13
18
19
20
25
26
27
M
15
A
14
15
16
17
R
21
22
23
24
28
Easter
St.Patrick’s Day
Passover
2
Good Friday
29
30
31
1
3
5
6
7
8
9
10
A
4
P
11
12
13
14
15
16
17
R
18
19
20
21
22
23
24
25
26
27
28
29
30
1
2
3
4
5
6
7
8
10
11
12
13
14
15
18
19
20
21
22
25
26
27
28
29
M
Mother’s Day
A
9
Y
16
17
23
24
30
31
Memorial Day
Sobell, L. C. & Sobell, M. B., 2008
1
2010
SUN
MON
TUES
WED
THURS
FRI
SAT
1
2
3
4
5
J
6
7
8
9
10
11
12
U
13
14
15
16
17
18
19
N
20
21
22
23
24
25
26
28
29
30
1
2
3
5
6
7
8
9
10
Father’s Day
27
Independence Day
J
4
U
11
12
13
14
15
16
17
L
18
19
20
21
22
23
24
25
26
27
28
29
30
31
A
1
2
3
4
5
6
7
U
8
9
10
11
12
13
14
G
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1
2
3
4
S
5
6
7
8
9
10
11
E
12
13
14
15
16
17
18
21
22
23
24
25
28
29
30
1
2
5
6
7
8
9
12
13
14
15
16
P
O
Labor Day
19
20
26
27
3
4
Yom Kippur
Columbus Day
C
10
11
T
17
18
19
20
21
22
23
24
25
26
27
28
29
30
1
2
3
4
5
6
12
13
19
20
26
27
31
Halloween
Election Day
Veterans’ Day
N
7
8
9
10
1
O
14
15
16
17
18
V
Thanksgiving
21
22
23
24
25
28
29
30
1
2
3
4
D
5
6
7
8
9
10
11
E
12
13
14
15
16
17
18
C
19
20
21
22
23
24
25
26
27
28
29
30
31
Rosh Hashanah
Hanukkah
Christmas
Sobell, L. C. & Sobell, M. B., 2008
2