Form JURY-001 "Juror Questionnaire for Civil Cases" - California

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JURY-001
JUROR QUESTIONNAIRE
FOR CIVIL CASES
Code of Civil Procedure Section 205(c)-(d)
Sec. 1. Statutory Authority
This Juror Questionnaire has been drafted under the authority of Code of Civil Procedure
section 205(c)-(d) and is intended to expedite jury selection. It is not intended to alter statutes
or rules governing the authority of the court or the role of counsel during voir dire.
Sec. 2. Use Notes for Courts
A. General
This Juror Questionnaire is intended for use in the court's discretion in appropriate civil cases.
Its use in cases of brief duration may not be appropriate. Particular kinds of cases may require
that this questionnaire be altered or augmented. The Personal Injury Supplement is intended
to be used along with the General Questions in personal injury actions. Judges, in their own
discretion, must determine what additional kinds of inquiry are appropriate in any given case.
B. Pre–Voir Dire Conference
The court should confer with counsel about voir dire before a jury panel is called. At this
conference, the court may establish (1) guidelines for the use of the Juror Questionnaire, (2)
any supplemental questions to be propounded to the panel by questionnaire, (3) the extent of
the court's oral inquiry of the panel, and (4) the extent of oral questioning by counsel.
Proposed supplemental questions drafted by counsel should be filed and served at least three
court days before the pre–voir dire conference. Arrangements for duplication of completed
questionnaires should be confirmed. The parties should share the cost of duplication.
C. Introduction of Questionnaire to Prospective Jurors
It is suggested that the Juror Questionnaire be used after the court has given its customary
introductory remarks and any additional instructions that the court deems appropriate. The
court also may wish to tell the panel members that a questionnaire will be used, to encourage
complete answers, and to remind them that their answers will be given under penalty of
perjury. In introducing the questionnaire, the court should instruct prospective jurors how to
proceed if they have difficulty reading or filling out the form.
The court could direct that the Juror Questionnaire be given to prospective jurors by the jury
commissioner in the jury assembly room. However, this procedure ordinarily will mean that
jurors are not given complete instructions about the type of case they will hear or the identity
of participants and witnesses. In addition, jurors who fill out the form before appearing in the
trial court may not clearly understand that their answers are given under penalty of perjury.
For these reasons, and to avoid the need to have jurors fill out supplemental questionnaires
once they have been sent to the trial court, it is strongly recommended that the Juror
Questionnaire be used in the trial court setting.
Form Approved for Optional Use
JUROR QUESTIONNAIRE FOR CIVIL CASES/Code of Civil Procedure section 205(c)-(d)
Judicial Council of California
JURY-001 [Rev. September 1, 2018]
A
JURY-001
JUROR QUESTIONNAIRE
FOR CIVIL CASES
Code of Civil Procedure Section 205(c)-(d)
Sec. 1. Statutory Authority
This Juror Questionnaire has been drafted under the authority of Code of Civil Procedure
section 205(c)-(d) and is intended to expedite jury selection. It is not intended to alter statutes
or rules governing the authority of the court or the role of counsel during voir dire.
Sec. 2. Use Notes for Courts
A. General
This Juror Questionnaire is intended for use in the court's discretion in appropriate civil cases.
Its use in cases of brief duration may not be appropriate. Particular kinds of cases may require
that this questionnaire be altered or augmented. The Personal Injury Supplement is intended
to be used along with the General Questions in personal injury actions. Judges, in their own
discretion, must determine what additional kinds of inquiry are appropriate in any given case.
B. Pre–Voir Dire Conference
The court should confer with counsel about voir dire before a jury panel is called. At this
conference, the court may establish (1) guidelines for the use of the Juror Questionnaire, (2)
any supplemental questions to be propounded to the panel by questionnaire, (3) the extent of
the court's oral inquiry of the panel, and (4) the extent of oral questioning by counsel.
Proposed supplemental questions drafted by counsel should be filed and served at least three
court days before the pre–voir dire conference. Arrangements for duplication of completed
questionnaires should be confirmed. The parties should share the cost of duplication.
C. Introduction of Questionnaire to Prospective Jurors
It is suggested that the Juror Questionnaire be used after the court has given its customary
introductory remarks and any additional instructions that the court deems appropriate. The
court also may wish to tell the panel members that a questionnaire will be used, to encourage
complete answers, and to remind them that their answers will be given under penalty of
perjury. In introducing the questionnaire, the court should instruct prospective jurors how to
proceed if they have difficulty reading or filling out the form.
The court could direct that the Juror Questionnaire be given to prospective jurors by the jury
commissioner in the jury assembly room. However, this procedure ordinarily will mean that
jurors are not given complete instructions about the type of case they will hear or the identity
of participants and witnesses. In addition, jurors who fill out the form before appearing in the
trial court may not clearly understand that their answers are given under penalty of perjury.
For these reasons, and to avoid the need to have jurors fill out supplemental questionnaires
once they have been sent to the trial court, it is strongly recommended that the Juror
Questionnaire be used in the trial court setting.
Form Approved for Optional Use
JUROR QUESTIONNAIRE FOR CIVIL CASES/Code of Civil Procedure section 205(c)-(d)
Judicial Council of California
JURY-001 [Rev. September 1, 2018]
A
JURY-001
JUROR QUESTIONNAIRE
FOR CIVIL CASES
Introduction and Instructions
Thank you for coming to court as a potential juror. 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.
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 judge will give you instructions on the law
and on how you should go about deciding the case. You must listen to and
follow the judge's instructions.
The questions on this form 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.
The judge has decided to use this form to save time and to give you a chance
to tell the court and the lawyers about yourself.
In portions of this form, you will see the term "significant personal relationship."
That term means a former spouse, domestic partner, life partner, or anyone
with whom you have an influential or intimate relationship that you would
characterize as important.
If there is anything you do not want to talk about in open court, please circle the
question number. After you have finished the questionnaire, let the clerk know
that you have circled one or more question numbers.
Do not write on the back of any page. Use an additional sheet of paper.
If you are called to the jury box, your answers to this questionnaire become a
matter of public record, just as if you had answered the questions aloud in the
courtroom.
If you have trouble reading, understanding, or filling out this form, please let the
court clerk know.
PLEASE REMEMBER THAT YOU ARE ANSWERING THESE QUESTIONS
UNDER PENALTY OF PERJURY. YOUR ANSWERS MUST BE TRUE AND
COMPLETE. THANK YOU FOR YOUR HELP IN SELECTING A FAIR JURY.
Form Approved for Optional Use
JUROR QUESTIONNAIRE FOR CIVIL CASES/Introduction and Instructions
Judicial Council of California
JURY-001 [Rev. September 1, 2018]
B
JURY-001
JUROR QUESTIONNAIRE
FOR CIVIL CASES
General Questions
PLEASE PRINT ALL ANSWERS LEGIBLY
FULL NAME:
1.1
DATE AND PLACE OF BIRTH:
1.2
AREA, NEIGHBORHOOD, OR COMMUNITY IN THIS COUNTY WHERE YOU CURRENTLY LIVE (DO NOT GIVE YOUR
ADDRESS):
HOUSE
APARTMENT
OWN
RENT
1.3
AREA, NEIGHBORHOOD, OR COMMUNITY WHERE YOU HAVE LIVED IN THE PAST 10 YEARS (AND DATES):
1.4
WHAT IS THE HIGHEST LEVEL OF EDUCATION YOU COMPLETED?
GRADE SCHOOL OR LESS
SOME COLLEGE
(MAJOR):
SOME HIGH SCHOOL
COLLEGE GRADUATE
HIGH SCHOOL GRADUATE
(MAJOR):
OTHER (PLEASE EXPLAIN):
POSTGRADUATE STUDY
(MAJOR):
TECHNICAL, VOCATIONAL, OR BUSINESS SCHOOL
(MAJOR):
1.5 IF YOU PLAN TO ATTEND OR ARE CURRENTLY ATTENDING SCHOOL, DESCRIBE:
1.6 IF YOU HAVE TAKEN ANY COURSES OR HAD ANY TRAINING IN MEDICINE OR OTHER HEALTH CARE FIELD,
DESCRIBE:
Form Approved for Optional Use
JUROR QUESTIONNAIRE FOR CIVIL CASES/General Questions 1
Judicial Council of California
JURY-001 [Rev. September 1, 2018]
C-1
JURY-001
1.7
IF YOU HAVE TAKEN ANY COURSES OR HAD ANY TRAINING IN LAW OR A RELATED SUBJECT, DESCRIBE:
1.8
EDUCATIONAL BACKGROUND OF ANY OTHER ADULT WHO LIVES IN YOUR HOME, INCLUDING ANY DEGREES OR
CERTIFICATES EARNED:
1.9
YOUR PRESENT EMPLOYMENT STATUS (CHECK ALL THAT APPLY):
EMPLOYED FULL-TIME
RETIRED
UNEMPLOYED, LOOKING FOR WORK
EMPLOYED PART-TIME
STUDENT
UNEMPLOYED, NOT LOOKING FOR WORK
HOMEMAKER
1.10
YOUR CURRENT OR MOST RECENT OCCUPATION:
1.11
NAME OF YOUR CURRENT OR MOST RECENT EMPLOYER OR, IF A STUDENT, YOUR SCHOOL:
1.12
WHAT ARE YOUR SPECIFIC DUTIES AND RESPONSIBILITIES ON THE JOB?
1.13
DOES YOUR JOB INVOLVE SUPERVISING OTHER PEOPLE?
YES
NO
IF YES, APPROXIMATELY HOW MANY?
1.14
ARE YOU INVOLVED IN THE HIRING OR FIRING OF OTHER EMPLOYEES?
YES
NO
1.15
ARE YOU INVOLVED IN EVALUATING THE JOB PERFORMANCE OF OTHER EMPLOYEES?
YES
NO
1.16
ALL OTHER EMPLOYMENT YOU HAVE HAD (AND FOR HOW LONG):
1.17
ALL FULL-TIME EMPLOYMENT OF YOUR SPOUSE OR ANY PERSON WITH WHOM YOU HAVE A SIGNIFICANT
PERSONAL RELATIONSHIP (AND FOR HOW LONG):
1.18
WHAT ARE/WERE THE OCCUPATIONS OF YOUR PARENTS? (IF RETIRED, WHAT DID THEY DO BEFORE?)
MOTHER:
FATHER:
Form Approved for Optional Use
JUROR QUESTIONNAIRE FOR CIVIL CASES/General Questions 2
Judicial Council of California
JURY-001 [Rev. September 1, 2018]
C-2
JURY-001
1.19
IF YOU HAVE CHILDREN, PLEASE LIST (INCLUDING ANY CHILDREN WHO DO NOT CURRENTLY LIVE WITH YOU):
DOES CHILD LIVE
SEX
OCCUPATION
AGE
EDUCATION
WITH YOU?
1.20
IF YOU OR YOUR CURRENT SPOUSE OR PERSON WITH WHOM YOU HAVE A SIGNIFICANT PERSONAL
RELATIONSHIP HAS EVER SERVED IN THE MILITARY, PLEASE LIST FOR EACH THE BRANCH OF SERVICE AND DATES
OF SERVICE:
1.21
WHAT SOCIAL, CIVIC, PROFESSIONAL, TRADE, OR OTHER ORGANIZATIONS ARE YOU AFFILIATED WITH?
1.22
DESCRIBE ANY OFFICES YOU HAVE HELD IN ORGANIZATIONS LISTED ABOVE:
1.23
DO YOU KNOW ANYONE ON THIS JURY PANEL?
1.24
ON HOW MANY CASES HAVE YOU SERVED ON A JURY?
WHERE DID YOU SERVE ON A JURY?
WHAT KINDS OF CASES DID YOU HEAR WHILE SERVING ON A JURY?
IN HOW MANY OF THOSE CASES DID THE JURY REACH A VERDICT?
IN HOW MANY OF THOSE CASES DID YOU SERVE AS THE JURY FOREPERSON?
WAS YOUR JURY SERVICE A POSITIVE OR NEGATIVE EXPERIENCE?
1.25
IF YOU HAVE EVER BEEN TO COURT FOR ANY OTHER REASON (EXCLUDING DIVORCE), EXPLAIN:
Form Approved for Optional Use
JUROR QUESTIONNAIRE FOR CIVIL CASES/General Questions 3
Judicial Council of California
JURY-001 [Rev. September 1, 2018]
C-3