PDF Ladies and Gentlemen of The Jury, Have Your Reached a Verdict ...

LADIES AND GENTLEMEN OF THE JURY, HAVE YOUR REACHED A VERDICT? JUROR QUESTIONNAIRE

Submitted by

Elizabeth Siso Bair, Esq.

ABA Annual Meeting August 6-9, 2005

Program Materials

90 Woodbridge Center Drive Woodbridge, New Jersey 07095

(732) 636-8000

WRITTEN JUROR QUESTIONNAIRE

[CASE NAME]

In this case, plaintiff, __________, is suing the defendant, her employer, and _______________, ______________, and ______________, individually, for [describe illegal conduct], for retaliating against her for protesting and opposing such illegal conduct, and [any other claims]. Before the case can start, a jury must be selected. The judge and the people involved in the case need to know something about you in order to select jurors who can be fair to both sides.

The questions asked of potential jurors are designed to help the Court and the lawyers learn something about your background and your views on issues that may be related to this case. The questions are asked not to invade your privacy, but to make sure that you can be a fair and impartial juror. If there is any reason why you might not be able to give both sides a fair trial in this case, it is important that you say so.

Everyone has attitudes and opinions that are shaped by their life experiences. Sometimes these experiences can make it difficult to look at a certain issue in an unbiased and unemotional way. As a juror, you must return a verdict based on the law and on the facts proved in court, not on emotion or on other views not supported by the evidence. The Court will give you instructions on the law and on how you should go about deciding the case. You must listen to and follow the Court's instructions.

To speed up the jury selection process, we are using individual

questionnaires. Your responses on this questionnaire will only be

seen by the Court, the attorneys and their assistants and will be

kept confidential. Since you have been sworn in, you are under

oath in answering these questions, and must answer each question

truthfully and to the best of your ability. Please answer all

questions in a complete and accurate manner. There are no right

or wrong answers; the Court and the attorneys are just interested

in learning about your background and true opinions. You may be

asked further questions based upon your answers to this written

questionnaire, but these questions will be asked in private and

all answers will be confidential.

Your answers to this

questionnaire will be destroyed when this case has been concluded.

PLEASE WRITE OR PRINT YOUR ANSWERS AS LEGIBLY AS POSSIBLE USING BLUE OR BLACK INK. Do not write on the back of any page. You may

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use another sheet of paper if you need additional space. Thank you for your time and effort in completing this questionnaire.

1. Please print your full name:

2. What is your age? _________

3. This trial is expected to last for approximately _________ weeks. Can you serve as a juror for this period of time? Yes ______ No ______

4. Do you want to serve as a juror? Yes ______ No ______

5. Where do you live?

6. How long have you lived at your current address?

7. Do you or your family own or rent your home?

Own

Rent

Other

If other, please explain:

8. How far did you go in school? (Check the highest level you completed)

Less than completion of high school High school graduate Technical or trade school Some college College degree Some graduate study Masters degree Doctorate

______ ______ ______ ______ ______ ______ ______ ______

If you attended technical/trade school or college, what was your major area of study:

9. What is your marital status?

Single and never married Married Divorced Separated Widow/widower

(Since what date:

)

(Since what date:

)

(Since what date:

)

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10. Please set forth the members of your household, whether they are related to you, and their occupations:

11. Do you have any children?

If you have any children, what are their ages? For adult children, what are their occupations?

Age

Occupation

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

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12. What is your current employment status: (Check all that apply)

Working Full time ______

Working Part time ______

Self-employed

______

Retired

______ (Since what date:

)

Unemployed

______ (Since what date:

)

Homemaker

______

Disabled

______ (Since what date:

)

Student

______

13. If unemployed, are you presently looking for work? Yes ______ No ______

14. What is your occupation? (If not currently employed, what was your most recent occupation?)

15. Who is your current employer? (If not currently employed, who was your most recent employer?)

a. How long have you been (were you) employed with your most recent employer?

b. How many people are (were) employed by your most recent employer?

16. What are your job responsibilities and what do you do at work? (If not currently employed, what did you do at your most recent job?)

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