STANDARD SMOKE REPORT v 1.1
compiled by tokinGLX
==================== ==
IDENTIFICATION
==================== ==
date:
strain:
judge:
breeder:
grower:
==================== ===============
PHYSICAL EXAMINATION
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1)
Visual Appeal: Rate the visual appeal of the buds from 1(unappealing) to 10(excellent). [ ]
2)
Visual Trichomes: Rate the visible trichome content from 1(none) to 10(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.
clear[ ] cloudy[ ] amber[ ] dark[ ]
4) Mark with an x the
colors that are present in the buds or for a more detailed analysis,
rate the presence on a scale of 1(light) to 10(dark).
brown[ ] green[ ] gold[ ] blue[ ] grey[ ] white[ ]
red[ ] rust[ ] orange[ ] purple[ ] black[ ]
5)
Bud Density: Rate the densit of the bud from 1(airy) to 10(dense). For samples that are
not in their natural state, leave this field blank. [ ]
6) Use numbers 1-10 on descriptors that apply to the
aroma of the freshly broken bud; where a
one indicates a subtle presence and ten indicates a pronounced presence.
ammonia[ ] earthy[ ] licorice[ ] peach[ ] berry[ ] floral[ ] mango[ ]
blueberry[ ] fruit[ ] meat[ ] petroleum[ ] bubblegum[ ] grape[ ] melon[ ]
cedar[ ] grapefruit[ ] menthol[ ] pineapple[ ] cherry[ ] grass/hay[ ]
rotton[ ] chocolate[ ] hash[ ] mold[ ] skunk[ ] citrus[ ] iron/rust[ ]
spice[ ] coconut[ ] leather[ ] nutmeg[ ] strawberry[ ] coffee[ ] lemon[ ]
orange[ ] vanilla [ ] pepper[ ] pine[ ] mint[ ] musk[ ]
7)
Aroma: Rate the aroma from 1(repulsive) to 10(delightful). Use freshly broken buds for
best results. [ ]
8)
Seed Content: Rate seed content from 1(none) to 10(fully seeded). [ ]
9)
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 ____________________ ____________________ ____________________ _____
____________________ ____________________ ____________________ ____________________ ______________
____________________ ____________________ ____________________ ____________________ ______________
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THE SMOKE TEST
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Address these questions while toking.
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 brand/model name) [ ]
pipe (size-type, ie medium-glass) [ ]
joint (brand of papers) [ ]
other (specify) [ ]
2) Use numbers 1- 10 on descriptors that apply to the
taste; where a one indicates a subtle
presence and a ten indicates a very pronounced presence.
ammonia[ ] earthy[ ] licorice[ ] peach[ ] berry[ ] floral[ ] mango[ ]
blueberry[ ] fruit[ ] meat[ ] petroleum[ ] bubblegum[ ] grape[ ] melon[ ]
cedar[ ] grapefruit[ ] menthol[ ] pineapple[ ] cherry[ ] grass/hay[ ]
rotton[ ] chocolate[ ] hash[ ] mold[ ] skunk[ ] citrus[ ] iron/rust[ ]
spice[ ] coconut[ ] leather[ ] nutmeg[ ] strawberry[ ] coffee[ ] lemon[ ]
orange[ ] vanilla [ ] pepper[ ] pine[ ] mint[ ] musk[ ]
If appropriate, return to this question after 5-10 minutes and mark with an x any unmarked
descriptors for lingering aftertaste.
3)
Taste: Rate your impression of the taste from 1(unpleasant) to 10(delicious). [ ]
4) State of
Dryness: Rate the dryness of the bud from 1(wet) to 10(dry), where 5 is ideal. [ ]
5)
Tokeability: Rate the tokeability of the sample from 1(harsh) to 10(smooth). [ ]
6)
Hit Expansion: Rate how the hit expands in the lunds from 1(unnoticable)
to 10(explosive). [ ]
SMOKE TEST COMMENTS ____________________ ____________________ ____________________ ________________
____________________ ____________________ ____________________ ____________________ ________________
____________________ ____________________ ____________________ ____________________ ________________
==================== ==================== =========
FOLLOW UP QUESTIONS
==================== ==================== =========
Address final questions immediately after effects have worn off.
1)
Dosage: Enter the number of hits taken/ammount of herb consumed to reach desire effects. [ ]
2)
Effect Onset: Rate how quickly the effect hit from 1(immediate) to 10(creeper). [ ]
3)
Sativa Influence: Rate the sativa influence detected from 1(none) to 10(extreme). Sativa
influence is best described as a clear and energetic metal effect. [ ]
4)
Indica Influence: Rate the indica influence detected from 1(none) to 10(extreme). Indica
influence is best described as a sedative, lethargic or numbing effect that affects the
body. [ ]
5)
Potency: Rate the potency of the sample from 1(weak) to 10(devastating). [ ]
6)
Duration: Indicate the number of hours the effects lasted. [ ]
7)
Tolerance Build Up: Rate how quickly tolerance builds from 1(none) to 10(rapid). Leave this
field blank if you have not used this sample repeatedly [ ]
8)
Usability: Rate on a scale of 1-10 where one indicates the worst time of day to consume this
strain and a ten represents the ideal time of day. Leave field(s) blank if you have not
yet formed an opinion.
morning/wake up[ ] day/work[ ] evening/relax[ ] night/sleep[ ]
9)
Overall Satisfaction: Rate your overall satisfaction from 1(poor) to 10(very happy). [ ]
10)
Ability and Conditions: Rate your overall ability to judge from 1(low) to 10(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[ ]
12) Rate the
noticable effects on a scale of 1(mild) to 10(severe). Mark in the appropriate
column, where + represents a
positive effect and the - column represents a
negative effect
+ .. -
[ ] [ ] ability to rest or sit still
[ ] [ ] anxiety relief
[ ] [ ] appetite
[ ] [ ] audio perception
[ ] [ ] humor perception
[ ] [ ] imagination/creativity
[ ] [ ] paranoia
[ ] [ ] sex drive
[ ] [ ] sleep
[ ] [ ] pain relief
[ ] [ ] speech process
[ ] [ ] taste perception
[ ] [ ] thought process
[ ] [ ] visual perception
EXTENDED MEDICAL SURVEY(optional)
Rate the
noticable effects on a scale of 1(mild) to 10(severe). Mark in the appropriate
column, where + represents a
positive effect and the - column represents a
negative effect
+ .. -
[ ] [ ] add/adhd
[ ] [ ] alcoholism/alcohol abuse
[ ] [ ] allergic rhinitis
[ ] [ ] amphetamine dependence
[ ] [ ] anorexia
[ ] [ ] arthritis/musculoskeletar pain
[ ] [ ] asthma/cough
[ ] [ ] bipolar disorder
[ ] [ ] cancer/chemotherapy
[ ] [ ] chronic fatigue
[ ] [ ] depression
[ ] [ ] diarrhea
[ ] [ ] drusen of optic nerve
[ ] [ ] epilepsy
[ ] [ ] glaucoma
[ ] [ ] hiccough
[ ] [ ] high blood pressure/raging pulse
[ ] [ ] insomnia
[ ] [ ] itching
[ ] [ ] migraine/vasular headache
[ ] [ ] muscle spasm
[ ] [ ] muscular movement disorders
[ ] [ ] nausea
[ ] [ ] panic attack
[ ] [ ] peripheral nerve pain
[ ] [ ] post traumatic stress disorder
[ ] [ ] pre menstrual syndrome
[ ] [ ] sedative/opiate dependence
[ ] [ ] schizophrenia
[ ] [ ] systemic lupus erythematosus
[ ] [ ] spacsticity in multiple sclerosis