About a year ago or so. I remember I recently got an annual checkup reminder in the mail, but I'm having some medical insurance issues so I'm not sure when/if I'm going back.
Not putting up Christmas trees, basically adhering to only the Christ-related parts of Christmas and not the industrialized Santa/elves/candy canes most people do. Instead of a Christmas tree, I'd have a makeshift trough with straw with gifts in the "manger."