Liberty Balance
Member
------------------------------------------------------------------------
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STANDARD SMOKE REPORT V1.0
IDENTIFICATION
Judge: [*Mr. & Mrs. Liberty Balance ]
Date: [*Jan. 2005]
Strain: [* Reeferman's Romulan ]
Breeder: [*Reeferman ]
Grower: [*Liberty Balance Medical Club]
If available enter the links to the following threads:
Grow Report: [N/A]
Breeder Report: [N/A]
PHYSICAL EXAMINATION
1. __[10]__ Visual Appeal (Purple & Lime Green with Red Hairs)
Rate the visual appeal of the buds from 1-10 unappealing-excellent.
2. __[10]__ 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 [ XX ]
Cloudy []
Amber []
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 [ XX ] ( overall color -Lime green w/ purple hints, )
Gold []
Blue []
Grey []
White []
Red [ XX ] (Red hairs)
Rust []
Orange [ XX ]
Purple [ XX ]
Black []
5. __[10]__ Bud density { Friggin Hard Rocks !}
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.
Berry [ XX ]
Pepper [ XXX ]
Spice [ XXX ]
7. __[10]__ 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. __[8]__ 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: Lots & Lots of crystals almost like ice covered.
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 [XX] ( *Bubbler )
Bong [ XX ]
Ice Bong [ XX ]
Vaporizer [ XX ] Type : passive (bag type)[] Heat Gun w/ bong or other [XX]
Heat Element type ( Example oc Vapors ect.) []
Pipe [XX]
Joint [ XX ] Used Clubs what else is there ?
Other [XX] (15" Steamroller & Sidecar)
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.
Berry [9 XXX]
Floral [7 XX]
Mango [6 XX]
Pepper [7 XX ]
Spice [ 8 XXX ]
If appropriate return to this question after 5-10 minutes and mark
with X any unmarked descriptors for lingering aftertaste.
3. __[10]__ (Love this space magic )
Rate your impression of the taste from 1-10 unpleasant-delicious.
4. __[8]__ State of dryness ( My "own" choice is to be a 8 for Ideal,
Perfect for Vaping. )
Rate the dryness of the bud from 1-10 wet-dry where 7 is ideal.
5. __[9 & 10]__ Smoke ability (9 in pipes & bongs, A PERFECT "10"
For Vaporizering )
Rate the smoke ability of the sample from 1-10 harsh-smooth.
6. __[10]__ Smoke expansion (*** LOOK OUT ! )
Rate how the smoke expands in the lungs from 1-10 stable-explodes.
SMOKE TEST COMMENTS:
I just loved it in my vapor cup and bong.
FOLLOW UP QUESTIONS :
Address final questions immediately after effects have worn off.
" Mellow - Very Happy Mood "
1. __[3-4]__ it lasts a while, Average time : 4 hours.
Enter the number of hits taken to reach desired effects.
2. __[6]__ (Very Smooth and quick.)
Rate how quickly the effect hit from 1-10 immediate-major creeper.
3. __[none]__ 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. __[10]__ 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. __[10]__ Potency Good stuff
Rate the potency of the sample from 0-10 none-devastating.
6. _X_[High really sets in and lasts a while] *4 hrs.__ Duration at least 4-6 hours per dose
Indicate the number of hours the effects lasted.
7. __[ 0 ]__ ***Tolerance build up I have a high tolerance for good herb and this one was one of those herbs I do 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 [10]
Day - work [5]
Evening - relax [10]
Night - sleep [10]
9. __[10 *]__ Overall satisfaction
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 [XX] A big Fav here in our club!
No []
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
__[ ]__ __[8]__ Appetite
__[ ]__ __[9]__ Anxiety relief
__[ ]__ __[9]__ Paranoia relief
__[ ]__ __[5]__ Sex drive
__[ ]__ __[10]__ Sleep
__[ ]__ __[10]__ Pain relief
__[ ]__ __[10]__ Ability to rest or sit still
__[ ]__ __[9]__ Thought process
__[ ]__ __[9]__ Speech process
__[ ]__ __[9]__ Imagination/creativity
__[ ]__ __[8]__ Humor perception
__[ ]__ __[8]__ Visual perception
__[ ]__ __[8]__ Audio perception
__[ ]__ __[7]__ Taste perception
EXTENDED MEDICAL SURVEY (optional)
Negative Positive
Effect Effect
__[ ]__ __[8 ]__ Alcoholism/Alcohol Abuse
__[ ]__ __[ ]__ Allergic rhinitis
__[1]__ __[ ]__ Amphetamine Dependence
__[ ]__ __[9]__ Anorexia
__[ ]__ __[10]__ Arthritis/Musculoskeletar pain
__[2]__ __[ ]__ Asthma/Cough
__[2]__ __[ ]__ Bipolar disorder
__[ ]__ __[10]__ Cancer/Cancer Chemotherapy
__[3]__ __[7 ]__ Chronic fatigue
__[ ]__ __[8]__ Depression
__[n/a]__ __[n/a]__ Diarrhea
__[n/a]__ __[n/a]__ Drusen of Optic Nerve
__[ ]__ __[10]__ Epilepsy
__[ ]__ __[10]__ Glaucoma
__[n/a]__ __[n/a]__ Hiccough
__[ ]__ __[10]__ High blood pressure/Racing pulse
__[ ]__ __[10]__ Insomnia
__[n/a]__ __[n/a]__ Itching
__[ ]__ __[10***]__ Migraine/vascular headache
__[ ]__ __[10 *****]__ Muscle Spasm
__[ ]__ __[9 ** ]__ Muscular movement disorders
__[ ]__ __[10 *****]__ Nausea
__[ ]__ __[9 **]__ Panic Attacks
__[ ]__ __[9 **]__ Peripheral nerve pain
__[ ]__ __[9*]__ Post traumatic Stress Disorder
__[n/a]__ __[n/a]__ Pre Menstrual Syndrome (Mrs. cant rate already been thru this.)
__[n/a]__ __[n/a]__ Sedative/Opiate Dependence
__[ ]__ __[10*****] M.S.
Smoke Report Form by, Friendlyfriend 2005
Thank you FF
I like this form
its easy and quick.
__________________________
JAH KINGDOM
*
------------------------------------------------------------------------
STANDARD SMOKE REPORT V1.0
IDENTIFICATION
Judge: [*Mr. & Mrs. Liberty Balance ]
Date: [*Jan. 2005]
Strain: [* Reeferman's Romulan ]
Breeder: [*Reeferman ]
Grower: [*Liberty Balance Medical Club]
If available enter the links to the following threads:
Grow Report: [N/A]
Breeder Report: [N/A]
PHYSICAL EXAMINATION
1. __[10]__ Visual Appeal (Purple & Lime Green with Red Hairs)
Rate the visual appeal of the buds from 1-10 unappealing-excellent.
2. __[10]__ 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 [ XX ]
Cloudy []
Amber []
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 [ XX ] ( overall color -Lime green w/ purple hints, )
Gold []
Blue []
Grey []
White []
Red [ XX ] (Red hairs)
Rust []
Orange [ XX ]
Purple [ XX ]
Black []
5. __[10]__ Bud density { Friggin Hard Rocks !}
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.
Berry [ XX ]
Pepper [ XXX ]
Spice [ XXX ]
7. __[10]__ 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. __[8]__ 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: Lots & Lots of crystals almost like ice covered.
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 [XX] ( *Bubbler )
Bong [ XX ]
Ice Bong [ XX ]
Vaporizer [ XX ] Type : passive (bag type)[] Heat Gun w/ bong or other [XX]
Heat Element type ( Example oc Vapors ect.) []
Pipe [XX]
Joint [ XX ] Used Clubs what else is there ?
Other [XX] (15" Steamroller & Sidecar)
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.
Berry [9 XXX]
Floral [7 XX]
Mango [6 XX]
Pepper [7 XX ]
Spice [ 8 XXX ]
If appropriate return to this question after 5-10 minutes and mark
with X any unmarked descriptors for lingering aftertaste.
3. __[10]__ (Love this space magic )
Rate your impression of the taste from 1-10 unpleasant-delicious.
4. __[8]__ State of dryness ( My "own" choice is to be a 8 for Ideal,
Perfect for Vaping. )
Rate the dryness of the bud from 1-10 wet-dry where 7 is ideal.
5. __[9 & 10]__ Smoke ability (9 in pipes & bongs, A PERFECT "10"
For Vaporizering )
Rate the smoke ability of the sample from 1-10 harsh-smooth.
6. __[10]__ Smoke expansion (*** LOOK OUT ! )
Rate how the smoke expands in the lungs from 1-10 stable-explodes.
SMOKE TEST COMMENTS:
I just loved it in my vapor cup and bong.
FOLLOW UP QUESTIONS :
Address final questions immediately after effects have worn off.
" Mellow - Very Happy Mood "
1. __[3-4]__ it lasts a while, Average time : 4 hours.
Enter the number of hits taken to reach desired effects.
2. __[6]__ (Very Smooth and quick.)
Rate how quickly the effect hit from 1-10 immediate-major creeper.
3. __[none]__ 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. __[10]__ 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. __[10]__ Potency Good stuff
Rate the potency of the sample from 0-10 none-devastating.
6. _X_[High really sets in and lasts a while] *4 hrs.__ Duration at least 4-6 hours per dose
Indicate the number of hours the effects lasted.
7. __[ 0 ]__ ***Tolerance build up I have a high tolerance for good herb and this one was one of those herbs I do 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 [10]
Day - work [5]
Evening - relax [10]
Night - sleep [10]
9. __[10 *]__ Overall satisfaction
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 [XX] A big Fav here in our club!
No []
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
__[ ]__ __[8]__ Appetite
__[ ]__ __[9]__ Anxiety relief
__[ ]__ __[9]__ Paranoia relief
__[ ]__ __[5]__ Sex drive
__[ ]__ __[10]__ Sleep
__[ ]__ __[10]__ Pain relief
__[ ]__ __[10]__ Ability to rest or sit still
__[ ]__ __[9]__ Thought process
__[ ]__ __[9]__ Speech process
__[ ]__ __[9]__ Imagination/creativity
__[ ]__ __[8]__ Humor perception
__[ ]__ __[8]__ Visual perception
__[ ]__ __[8]__ Audio perception
__[ ]__ __[7]__ Taste perception
EXTENDED MEDICAL SURVEY (optional)
Negative Positive
Effect Effect
__[ ]__ __[8 ]__ Alcoholism/Alcohol Abuse
__[ ]__ __[ ]__ Allergic rhinitis
__[1]__ __[ ]__ Amphetamine Dependence
__[ ]__ __[9]__ Anorexia
__[ ]__ __[10]__ Arthritis/Musculoskeletar pain
__[2]__ __[ ]__ Asthma/Cough
__[2]__ __[ ]__ Bipolar disorder
__[ ]__ __[10]__ Cancer/Cancer Chemotherapy
__[3]__ __[7 ]__ Chronic fatigue
__[ ]__ __[8]__ Depression
__[n/a]__ __[n/a]__ Diarrhea
__[n/a]__ __[n/a]__ Drusen of Optic Nerve
__[ ]__ __[10]__ Epilepsy
__[ ]__ __[10]__ Glaucoma
__[n/a]__ __[n/a]__ Hiccough
__[ ]__ __[10]__ High blood pressure/Racing pulse
__[ ]__ __[10]__ Insomnia
__[n/a]__ __[n/a]__ Itching
__[ ]__ __[10***]__ Migraine/vascular headache
__[ ]__ __[10 *****]__ Muscle Spasm
__[ ]__ __[9 ** ]__ Muscular movement disorders
__[ ]__ __[10 *****]__ Nausea
__[ ]__ __[9 **]__ Panic Attacks
__[ ]__ __[9 **]__ Peripheral nerve pain
__[ ]__ __[9*]__ Post traumatic Stress Disorder
__[n/a]__ __[n/a]__ Pre Menstrual Syndrome (Mrs. cant rate already been thru this.)
__[n/a]__ __[n/a]__ Sedative/Opiate Dependence
__[ ]__ __[10*****] M.S.
Smoke Report Form by, Friendlyfriend 2005
Thank you FF
I like this form
its easy and quick.
__________________________
JAH KINGDOM
*
