Modifies a noun

• man: I could not for the life of me see anything outstanding or extraordinary about this middle-sized, youthfully slender man in gray SS uniform.

• company: R&D-intensive middle-sized companies are those with R&D over 4 per cent of sales.

• town: This threat matters: these consumer services currently occupy about 20 % of High Street units in Britain's middle-sized towns.

• church: Of the one third of remaining churches ( 36 percent ), 29 percent are " middle-sized churches " with 100 - 400 attenders.

• city: Christine Skinner, of the University of York, interviewed 40 mothers living within two separate areas in a middle-sized English city.