STANDARD SMOKE REPORT V1.0
IDENTIFICATION
Enter username or anon for judge in the square brackets. Enter date in
universal format dd-Mmm-yyyy ie 10-Dec-2003. Enter strain name without
abbreviations and with spaces where appropriate. Use username, company
name or anon for the breeder and grower fields as appropriate.
Judge: [FriendlyFriend, Lil Diddle]
Date: [Fall 2004]
Strain: [Ultimate Moonshine]
Breeder: [JLP]
Grower: [FriendlyFriend]
If available enter the links to the following threads:
Grow Report: []
Breeder Report: []
PHYSICAL EXAMINATION
1. __[7]__ Visual Appeal
Rate the visual appeal of the buds from 1-10 unappealing-excellent.
2. __[8]__ Visible Trichomes
Rate the visible trichome content from 1-10 none-totally covered.
3. Use an X to indicate the colors that are present in the trichome
heads under magnification or list the percentages of each color for
a more precise report. Leave these fields blank if you do not have
a powerful magnifier.
Clear []
Cloudy [x]
Amber [x]
Dark []
4. Mark with X the colors that are present in the buds or for a more
detailed color analysis rate presence on a scale 1-9 light-dark.
Brown []
Green [x]
Gold []
Blue [x]
Grey [x]
White [x]
Red []
Rust []
Orange [x]
Purple []
Black []
5. __[7]__ Bud density
Rate the bud density from 1-10 airy-dense. For samples that are
not in their natural state leave this field blank.
6. Use numbers 1-9 on descriptors that apply to the aroma of freshly
broken bud where a one indicates a subtle presence and 9 indicates
a pronounced presence. Delete the existing space when marking a
descriptor in order to maintain the columns in alignment.
Ammonia [ ] Earthy [ ] Licorice [x] Peach [ ]
Berry [ ] Floral [ x] Mango [ ] Pepper [ ]
Blueberry [ ] Fruit [ ] Meat [ ] Petroleum [ ]
Bubblegum [ ] Grape [ ] Melon [ ] Pine [ ]
Cedar [ ] Grapefruit[ ] Menthol [ ] Pineapple [ ]
Cherry [ ] Grass/Hay [ ] Mint [ ] Rotten [ ]
Chocolate [ ] Hash [ ] Mold [ ] Skunk []
Citrus [ ] Iron/Rust [ ] Musk [ ] Spice [ ]
Coconut [ ] Leather [ ] Nutmeg [ ] Strawberry[ ]
Coffee [ ] Lemon [ ] Orange [ ] Vanilla [ ]
7. __[9+]__ Aroma
Rate the aroma from 1-10 repulsive-delightful. Use freshly crumbled
bud for best results.
8. __[0]__ Seed content
Rate seed content from 0-10 none-fully seeded.
9. __[1]__ Weeks cured
If known enter the number of weeks your sample has been cured.
If desired repeat SSR after an additional two weeks of curing.
PHYSICAL EXAMINATION COMMENTS:
THE SMOKE TEST
Address these questions while smoking.
1. Please use a clean instrument for the evaluation. Enter information
below that will identify the instrument as follows:
Water pipe (enter bong, hooka, bubbler etc)
Vaporizer (enter the brand name)
Pipe (size-type, ie medium-glass)
Joint (enter brand of papers)
Other (specify)
Water pipe [x]
Vaporizer []
Pipe []
Joint [x]
Other []
2. Use numbers 1-9 on descriptors that apply to the taste where a one
indicates a subtle presence and a nine indicates a very pronounced
presence. Delete the existing space when marking a descriptor in
order to maintain the columns in alignment.
Ammonia [ ] Earthy [ ] Licorice [ ] Peach [ ]
Berry [ 1] Floral [ 3] Mango [ ] Pepper [ ]
Blueberry [ ] Fruit [ ] Meat [ ] Petroleum [ ]
Bubblegum [ ] Grape [ ] Melon [ ] Pine [ ]
Cedar [ ] Grapefruit[ ] Menthol [ ] Pineapple [ ]
Cherry [ ] Grass/Hay [ ] Mint [ ] Rotten [ ]
Chocolate [ ] Hash [ ] Mold [ ] Skunk [ ]
Citrus [ 3] Iron/Rust [ ] Musk [ ] Spice [ ]
Coconut [ ] Leather [ ] Nutmeg [ ] Strawberry[ ]
Coffee [ ] Lemon [ ] Orange [ ] Vanilla [ ]
If appropriate return to this question after 5-10 minutes and mark
with X any unmarked descriptors for lingering aftertaste.
3. __[9]__ Taste Lil Diddle said its in her top 3! I think its almost like an alcholic fermented taste.
Rate your impression of the taste from 1-10 unpleasant-delicious.
4. __[8]__ State of dryness
Rate the dryness of the bud from 1-10 wet-dry where 5 is ideal.
5. __[8]__ Smoke ability
Rate the smoke ability of the sample from 1-10 harsh-smooth.
6. __[7]__ Smoke expansion
Rate how the smoke expands in the lungs from 1-10 stable-explodes.
SMOKE TEST COMMENTS:
I got really really stoned first Time I toked it. Was very nicely surprised. Lil Diddle loves it. She is gonna do her own report
FOLLOW UP QUESTIONS
Address final questions immediately after effects have worn off.
1. __[3]__ Dosage 3 hits to heaven.... and it lasts a while
Enter the number of hits taken to reach desired effects.
2. __[9]__ Effect onset BANG! in your face Real Creepy kinda like a Scooby Doo Villian
Rate how quickly the effect hit from 1-10 immediate-major creeper.
3. __[1]__ Sativa influence
Rate the sativa influence detected from 0-10 none-extreme. Sativa
influence is best described as a clear and energetic mental effect.
4. __[8]__ Indica influence
Rate the indica influence detected from 0-10 none-extreme. Indica
influence is best described as a sedative, lethargic or numbing
effect that affects the body.
5. __[8]__ Potency Good stuff
Rate the potency of the sample from 0-10 none-devastating.
6. __[High really sets in and lasts a while]__ Duration at least 4-6 hours per dose
Indicate the number of hours the effects lasted.
7. __[2]__ Tolerance build up I have a high tolerance for good herb and this one was one of those herbs I did not get "used to" right away
Rate how quickly tolerance builds from 0-10 none-rapid. Leave this
field blank if you have not used this sample repeatedly.
8. Usability
Rate on a scale of 1-9 where a one indicates the worst time of day
to consume this strain and a nine represents the ideal time of day.
Leave field(s) blank if you have not yet formed an opinion.
Morning - wake up [0]
Day - work [0]
Evening - relax [9]
Night - sleep [8]
9. __[7]__ Overall satisfaction So worth the 70 day flower time. I really enjoy it.
Rate your overall satisfaction from 1-10 poor-Holy Grail.
10. __[10]__ Ability and conditions I'm the man for the job!
. Rate your overall ability to judge from 1-10 low-high. Consider
experience, strain familiarity, atmosphere, current tolerance and
most importantly the condition and preparation of the sample.
11.Judging from the sample alone do you personally consider this
strain a keeper for long term use?
Yes []
No [x]
12.Rate the noticable effects on a scale of 1-9 mild-severe. Take
care to use the appropriate column for your response. Delete the
existing space when recording your entry to maintain the columns
in alignment. In all cases these casual observations should not
be construed as medical advice.
Negative Positive
Effect Effect
__[ ]__ __[3 ]__ Appetite
__[ 5]__ __[ ]__ Anxiety relief
__[ 5]__ __[ ]__ Paranoia relief
__[ ]__ __[3]__ Sex drive
__[ ]__ __[4]__ Sleep
__[ ]__ __[na]__ Pain relief
__[ ]__ __[9]__ Ability to rest or sit still
__[7]__ __[]__ Thought process
__[ ]__ __[ 3]__ Speech process
__[ ]__ __[ 7]__ Imagination/creativity
__[ ]__ __[7]__ Humor perception
__[ 3]__ __[ ]__ Visual perception
__[ 3]__ __[ ]__ Audio perception
__[ ]__ __[ 5]__ Taste perception
EXTENDED MEDICAL SURVEY (optional)
Negative Positive
Effect Effect
__[ 9]__ __[ ]__ Alcoholism/Alcohol Abuse
__[ ]__ __[ ]__ Allergic rhinitis
__[ ]__ __[ ]__ Amphetamine Dependence
__[ ]__ __[ 4]__ Anorexia
__[ ]__ __[ ]__ Arthritis/Musculoskeletar pain
__[ ]__ __[4 ]__ Asthma/Cough
__[ ]__ __[ ]__ Bipolar disorder
__[ ]__ __[ ]__ Cancer/Cancer Chemotherapy
__[ ]__ __[ ]__ Chronic fatigue
__[ 2]__ __[]__ Depression
__[ ]__ __[ ]__ Diarrhea
__[ ]__ __[ ]__ Drusen of Optic Nerve
__[ ]__ __[ ]__ Epilepsy
__[ ]__ __[ ]__ Glaucoma
__[ ]__ __[ ]__ Hiccough
__[ ]__ __[ ]__ High blood pressure/Racing pulse
__[ ]__ __[ 3]__ Insomnia
__[ ]__ __[ ]__ Itching
__[ ]__ __[ ]__ Migraine/vascular headache
__[ ]__ __[ ]__ Muscle Spasm
__[ ]__ __[ ]__ Muscular movement disorders
__[ ]__ __[ ]__ Nausea
__[ 3]__ __[ ]__ Panic Attacks
__[ ]__ __[ ]__ Peripheral nerve pain
__[ ]__ __[ ]__ Post traumatic Stress Disorder
__[ ]__ __[ ]__ Pre Menstrual Syndrome
__[ ]__ __[4]__ Sedative/Opiate Dependence
__[ ]__ __[ ]__ Spasticity in Multiple Sclerosis
IDENTIFICATION
Enter username or anon for judge in the square brackets. Enter date in
universal format dd-Mmm-yyyy ie 10-Dec-2003. Enter strain name without
abbreviations and with spaces where appropriate. Use username, company
name or anon for the breeder and grower fields as appropriate.
Judge: [FriendlyFriend, Lil Diddle]
Date: [Fall 2004]
Strain: [Ultimate Moonshine]
Breeder: [JLP]
Grower: [FriendlyFriend]
If available enter the links to the following threads:
Grow Report: []
Breeder Report: []
PHYSICAL EXAMINATION
1. __[7]__ Visual Appeal
Rate the visual appeal of the buds from 1-10 unappealing-excellent.
2. __[8]__ Visible Trichomes
Rate the visible trichome content from 1-10 none-totally covered.
3. Use an X to indicate the colors that are present in the trichome
heads under magnification or list the percentages of each color for
a more precise report. Leave these fields blank if you do not have
a powerful magnifier.
Clear []
Cloudy [x]
Amber [x]
Dark []
4. Mark with X the colors that are present in the buds or for a more
detailed color analysis rate presence on a scale 1-9 light-dark.
Brown []
Green [x]
Gold []
Blue [x]
Grey [x]
White [x]
Red []
Rust []
Orange [x]
Purple []
Black []
5. __[7]__ Bud density
Rate the bud density from 1-10 airy-dense. For samples that are
not in their natural state leave this field blank.
6. Use numbers 1-9 on descriptors that apply to the aroma of freshly
broken bud where a one indicates a subtle presence and 9 indicates
a pronounced presence. Delete the existing space when marking a
descriptor in order to maintain the columns in alignment.
Ammonia [ ] Earthy [ ] Licorice [x] Peach [ ]
Berry [ ] Floral [ x] Mango [ ] Pepper [ ]
Blueberry [ ] Fruit [ ] Meat [ ] Petroleum [ ]
Bubblegum [ ] Grape [ ] Melon [ ] Pine [ ]
Cedar [ ] Grapefruit[ ] Menthol [ ] Pineapple [ ]
Cherry [ ] Grass/Hay [ ] Mint [ ] Rotten [ ]
Chocolate [ ] Hash [ ] Mold [ ] Skunk []
Citrus [ ] Iron/Rust [ ] Musk [ ] Spice [ ]
Coconut [ ] Leather [ ] Nutmeg [ ] Strawberry[ ]
Coffee [ ] Lemon [ ] Orange [ ] Vanilla [ ]
7. __[9+]__ Aroma
Rate the aroma from 1-10 repulsive-delightful. Use freshly crumbled
bud for best results.
8. __[0]__ Seed content
Rate seed content from 0-10 none-fully seeded.
9. __[1]__ Weeks cured
If known enter the number of weeks your sample has been cured.
If desired repeat SSR after an additional two weeks of curing.
PHYSICAL EXAMINATION COMMENTS:
THE SMOKE TEST
Address these questions while smoking.
1. Please use a clean instrument for the evaluation. Enter information
below that will identify the instrument as follows:
Water pipe (enter bong, hooka, bubbler etc)
Vaporizer (enter the brand name)
Pipe (size-type, ie medium-glass)
Joint (enter brand of papers)
Other (specify)
Water pipe [x]
Vaporizer []
Pipe []
Joint [x]
Other []
2. Use numbers 1-9 on descriptors that apply to the taste where a one
indicates a subtle presence and a nine indicates a very pronounced
presence. Delete the existing space when marking a descriptor in
order to maintain the columns in alignment.
Ammonia [ ] Earthy [ ] Licorice [ ] Peach [ ]
Berry [ 1] Floral [ 3] Mango [ ] Pepper [ ]
Blueberry [ ] Fruit [ ] Meat [ ] Petroleum [ ]
Bubblegum [ ] Grape [ ] Melon [ ] Pine [ ]
Cedar [ ] Grapefruit[ ] Menthol [ ] Pineapple [ ]
Cherry [ ] Grass/Hay [ ] Mint [ ] Rotten [ ]
Chocolate [ ] Hash [ ] Mold [ ] Skunk [ ]
Citrus [ 3] Iron/Rust [ ] Musk [ ] Spice [ ]
Coconut [ ] Leather [ ] Nutmeg [ ] Strawberry[ ]
Coffee [ ] Lemon [ ] Orange [ ] Vanilla [ ]
If appropriate return to this question after 5-10 minutes and mark
with X any unmarked descriptors for lingering aftertaste.
3. __[9]__ Taste Lil Diddle said its in her top 3! I think its almost like an alcholic fermented taste.
Rate your impression of the taste from 1-10 unpleasant-delicious.
4. __[8]__ State of dryness
Rate the dryness of the bud from 1-10 wet-dry where 5 is ideal.
5. __[8]__ Smoke ability
Rate the smoke ability of the sample from 1-10 harsh-smooth.
6. __[7]__ Smoke expansion
Rate how the smoke expands in the lungs from 1-10 stable-explodes.
SMOKE TEST COMMENTS:
I got really really stoned first Time I toked it. Was very nicely surprised. Lil Diddle loves it. She is gonna do her own report
FOLLOW UP QUESTIONS
Address final questions immediately after effects have worn off.
1. __[3]__ Dosage 3 hits to heaven.... and it lasts a while
Enter the number of hits taken to reach desired effects.
2. __[9]__ Effect onset BANG! in your face Real Creepy kinda like a Scooby Doo Villian
Rate how quickly the effect hit from 1-10 immediate-major creeper.
3. __[1]__ Sativa influence
Rate the sativa influence detected from 0-10 none-extreme. Sativa
influence is best described as a clear and energetic mental effect.
4. __[8]__ Indica influence
Rate the indica influence detected from 0-10 none-extreme. Indica
influence is best described as a sedative, lethargic or numbing
effect that affects the body.
5. __[8]__ Potency Good stuff
Rate the potency of the sample from 0-10 none-devastating.
6. __[High really sets in and lasts a while]__ Duration at least 4-6 hours per dose
Indicate the number of hours the effects lasted.
7. __[2]__ Tolerance build up I have a high tolerance for good herb and this one was one of those herbs I did not get "used to" right away
Rate how quickly tolerance builds from 0-10 none-rapid. Leave this
field blank if you have not used this sample repeatedly.
8. Usability
Rate on a scale of 1-9 where a one indicates the worst time of day
to consume this strain and a nine represents the ideal time of day.
Leave field(s) blank if you have not yet formed an opinion.
Morning - wake up [0]
Day - work [0]
Evening - relax [9]
Night - sleep [8]
9. __[7]__ Overall satisfaction So worth the 70 day flower time. I really enjoy it.
Rate your overall satisfaction from 1-10 poor-Holy Grail.
10. __[10]__ Ability and conditions I'm the man for the job!
. Rate your overall ability to judge from 1-10 low-high. Consider
experience, strain familiarity, atmosphere, current tolerance and
most importantly the condition and preparation of the sample.
11.Judging from the sample alone do you personally consider this
strain a keeper for long term use?
Yes []
No [x]
12.Rate the noticable effects on a scale of 1-9 mild-severe. Take
care to use the appropriate column for your response. Delete the
existing space when recording your entry to maintain the columns
in alignment. In all cases these casual observations should not
be construed as medical advice.
Negative Positive
Effect Effect
__[ ]__ __[3 ]__ Appetite
__[ 5]__ __[ ]__ Anxiety relief
__[ 5]__ __[ ]__ Paranoia relief
__[ ]__ __[3]__ Sex drive
__[ ]__ __[4]__ Sleep
__[ ]__ __[na]__ Pain relief
__[ ]__ __[9]__ Ability to rest or sit still
__[7]__ __[]__ Thought process
__[ ]__ __[ 3]__ Speech process
__[ ]__ __[ 7]__ Imagination/creativity
__[ ]__ __[7]__ Humor perception
__[ 3]__ __[ ]__ Visual perception
__[ 3]__ __[ ]__ Audio perception
__[ ]__ __[ 5]__ Taste perception
EXTENDED MEDICAL SURVEY (optional)
Negative Positive
Effect Effect
__[ 9]__ __[ ]__ Alcoholism/Alcohol Abuse
__[ ]__ __[ ]__ Allergic rhinitis
__[ ]__ __[ ]__ Amphetamine Dependence
__[ ]__ __[ 4]__ Anorexia
__[ ]__ __[ ]__ Arthritis/Musculoskeletar pain
__[ ]__ __[4 ]__ Asthma/Cough
__[ ]__ __[ ]__ Bipolar disorder
__[ ]__ __[ ]__ Cancer/Cancer Chemotherapy
__[ ]__ __[ ]__ Chronic fatigue
__[ 2]__ __[]__ Depression
__[ ]__ __[ ]__ Diarrhea
__[ ]__ __[ ]__ Drusen of Optic Nerve
__[ ]__ __[ ]__ Epilepsy
__[ ]__ __[ ]__ Glaucoma
__[ ]__ __[ ]__ Hiccough
__[ ]__ __[ ]__ High blood pressure/Racing pulse
__[ ]__ __[ 3]__ Insomnia
__[ ]__ __[ ]__ Itching
__[ ]__ __[ ]__ Migraine/vascular headache
__[ ]__ __[ ]__ Muscle Spasm
__[ ]__ __[ ]__ Muscular movement disorders
__[ ]__ __[ ]__ Nausea
__[ 3]__ __[ ]__ Panic Attacks
__[ ]__ __[ ]__ Peripheral nerve pain
__[ ]__ __[ ]__ Post traumatic Stress Disorder
__[ ]__ __[ ]__ Pre Menstrual Syndrome
__[ ]__ __[4]__ Sedative/Opiate Dependence
__[ ]__ __[ ]__ Spasticity in Multiple Sclerosis
