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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):
D HOUSE oAPARTMENT DOWN D 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?
DGRADE SCHOOL OR LESS D SOME COLLEGE
D
(MAJ OR):
SOME HIGH SCHOOL
DHIGH SCHOOL GRADUATE
DOTHER (PLEASE EXPLAIN):
DCOllEGE GRADUATE
(MAJ OR):
D POSTGRADUATE STUDY
(MAJ OR):
D TECHNICAL, VOCATIONAL, OR BUSINESS SCHOOL
(MAJ OR):
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 by the
J udidal Coundl of California
MC-001 [Effective J anuary " 20041
Optional Form
J UROR QUESTIONNAIRE FOR CIVIL CASES/General Questions _ 1
C-1

1.7 IF YOU HAVE TAKEN ANY COURSES OR HAD ANY TRAINING IN LAW OR A RELATED SUBJ ECT, 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 THATAPPLy):
oEMPLOYED FULL-TIME 0 RETIRED 0 UNEMPLOYED. LOOKING FOR WORK
oEMPLOYED PART-TIME 0 STUDENT 0 UNEMPLOYED, NOT LOOKING FOR WORK
oHOMEMAKER
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 J OB?
1.13 DOES YOUR J OB INVOLVE SUPERVISING OTHER PEOPLE? 0 YES oNO
IF YES, APPROXIMATELY HOW MANY?
1.14 ARE YOU INVOLVED IN THE HIRING OR FIRING OF OTHER EMPLOYEES? DYES 0 NO
1.15 ARE YOU INVOLVED IN EVALUATING THE J OB PERFORMANCE OF OTHER EMPLOYEES? 0 YES oNO
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 AREIWERE THE OCCUPATIONS OF YOUR PARENTS? (IF RETIRED, WHAT DID THEY DO BEFORE?)
MOTHER:
FATHER:
Form Approved by the
J udicial Council of California
MC-D01 [Effective J anuary 1, 2004J
Optional Form
J UROR QUESTIONNAIRE FOR CIVIL CASES/General Questions _ 2
C-2

1.19 IF YOU HAVE CHILDREN, PLEASE LIST (INCLUDING ANY CHILDREN WHO DO NOT CURRENTLY LIVE WITH YOU):
DOES CHILD
SEX AGE LIVE WITH YOU? EDUCATION OCCUPATION
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 J URY PANEL?
1.24 ON HOW MANY CASES HAVE YOU SERVED ON A J URY?
WHERE DID YOU SERVE ON A J URY?
WHAT KINDS OF CASES DID YOU HEAR WHILE SERVING ON A J URY?
IN HOW MANY OF THOSE CASES DID THE J URY REACH A VERDICT?
IN HOW MANY OF THOSE CASES DID YOU SERVE AS THE J URY FORE PERSON?
- - - - - - - - - - - - - - - - -
WAS YOUR J URY SERVICE A POSITIVE OR NEGATIVE EXPERIENCE?
1.25 IF YOU HAVE EVER BEEN TO COURT FOR ANY OTHER REASON (EXCLUDING DIVORCE), EXPLAIN:
Form Approved by the
J udicial Council of Califomia
MCOOl (Effective J anuary 1, 20041
Optional Form
J UROR QUESTIONNAIRE FOR CIVIL CASES/General Questions _ 3
C-3

1.26 IF YOU PERSONALLY KNOW ANY J UDGES OR ATTORNEYS OR COURT PERSONNEL, WHAT ARE THEIR
NAMES AND RELATIONSHIP TO YOU?
1.27 DESCRIBE ANY PROBLEMS (VISION, HEARING, OR OTHER MEDICAL PROBLEMS) THAT MAY AFFECT YOUR J URY
SERVICE:
1.28 IF YOU OR ANYONE CLOSE TO YOU HAS EVER MADE ANY TYPE OF CLAIM FOR DAMAGES, EXPLAIN:
1.29 IF A CLAIM FOR MONEY DAMAGES HAS EVER BEEN MADE AGAINST YOU OR ANYONE CLOSE TO YOU,
EXPLAIN THE CIRCUMSTANCES:
1.30 IF YOU OR ANYONE CLOSE TO YOU HAS EVER SUED OR BEEN SUED IN ANY TYPE OF LAWSUIT, EXPLAIN:
1.31 DO YOU FEEL THAT MONEY DAMAGES AWARDED IN LAWSUITS ARE (CHECK ONE):
oEXCESSIVE
o OFTEN TOO LARGE
o ABOUT RIGHT
oOCCASIONALLY TOO LOW
oOFTEN TOO LOW
oOTHER (SPECIFY):
1.32 IF YOU HAVE ANY ETHICAL, RELIGIOUS, POLITICAL, OR OTHER BELIEFS THAT MAY PREVENT YOU FROM
SERVING AS A J UROR, EXPLAIN:
1.33 IF THERE IS ANY MATTER NOT COVERED BY THIS QUESTIONNAIRE THAT COULD AFFECT YOUR ABILITY TO BE A
FAIR AND IMPARTIAL J UROR, EXPLAIN:
Form Approved by the
J udicial Counal of Cafitornla
MC-OOl [Effective J anuary', 2004J
Optional Form
J UROR QUESTIONNAIRE FOR CIVIL CASES/General Questions _ 4
C-4

J UROR QUESTI ONNAI RE


FOR CI VI L CASES
CASE SPECI FI C SUPPLEMENT
Please Print All Answers Legibly
FULL NAME: _
2) WHAT ISYOUR CURRENT MARITAL STATUS?
SINGLE ANDNEVER MARRIED
MARRIEDOR LIVING WITH DOMESTIC PARTNER
DIVORCEDOR SEPARATED
WIDOWED
_OTHER (SPECIFY):
3) DO YOU HAVE ANY GRANDCHILDREN? YES NO
IF YES, WHAT IS/ARE THEIR AGE(S) ANDOCCUPATION(S)?
4) HAVE YOU EVER WRITTEN A LETTER TO AN EDITOR, BLOG, WEB POST, OR
CALLEDIN TO A RADIO STATION REGARDING A PARTICULAR ISSUE? IF SO,
WHAT WAS IT ANDWHAT WAS YOUR OPINION?
5) HOW REGULARLY DO YOU FOLLOW THE NEWS?
DAILY FEW TIMES A WEEK WEEKENDS ONLY
RARELY
6) WHAT ISYOUR PRIMARY SOURCE OF NEWS?
__ NEWSPAPER __ TELEVISION RADIO INTERNET
MAGAZINES FAMILY FRIENDS OTHER
7) HAVE YOU EVER POSTEDANY BLOGS OR COMMENTS ON ANY INTERNET
SITES? YES NO
IF YES, WHICH ONES?
1

8) DO YOU HAVE A FACEBOOK OR TWITTER ACCOUNT?


FACEBOOK TWITTER BOTH NEITHER
9) DO YOU CONSIDER YOURSELF TO BE (PLEASE CHECK THE ONE THAT BEST
APPLIES)
VERY CONSERVATIVE
CONSERVATIVE
MIDDLE OF THE ROAD
LIBERAL
VERY LIBERAL
10) HAVE YOU, OR ANYONE CLOSE TO YOU, EVER DECLARED BANKRUPTCY?
YES NO ~
IF "YES," PLEASE EXPLAIN:
11) HAVE YOU PERSONALLY EVER FILEDA LAWSUIT OR BEEN SUED?
YES NO
IF "YES," PLEASE EXPLAIN:
12) HAVE YOU EVER EXPERIENCED MAJ OR FINANCIAL PROBLEMS?
YES NO
IF "YES," PLEASE EXPLAIN:
13) HAVE YOU OR ANY MEMBERS OF YOUR FAMIL Y OR CLOSE FRIENDS EVER
BEEN IN A SITUATION WHERE YOU BELIEVED OTHERS PRESSURED YOU OR
TOOK ADVANTAGE OF YOU BECAUSE OF YOUR FINANCIAL PROBLEMS?
YES NO
IF "YES," PLEASE EXPLAIN:
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14) HAVE YOU EVER FELT HARASSED AT WORK?
YES NO
IF "YES," PLEASE EXPLAIN:
15) HAVE YOU OR ANY FAMIL Y MEMBER EVER WORKED IN UPPER OR MIDDLE
MANAGEMENT OF A COMPANY OR CORPORATION?
YES NO
IF "YES," PLEASE EXPLAIN:
A) WHO (YOU AND/OR FAMILY); s-
B) THE J OBS;
C) FOR HOW LONG WORKED
16) HAVE YOU OR ANY FAMILY MEMBER OR CLOSE FRIENDS EVER OWNEDOR
OPERA TEDYOUR OWN BUSINESS?
YES NO
IF "YES," PLEASE EXPLAIN:
A) WHO (YOU AND/OR FAMILY)
B) THE NATURE OF THE BUSINESS(ES)
C) FOR HOW LONG OWNED/OPERA TED
D) APPROXIMATE NUMBER OF EMPLOYEES
WAS THAT BUSINESS EVER A PLAINTIFF OR A DEFENDANT IN A
LAWSUIT?
YES NO
IF "YES," PLEASE EXPLAIN:
3

17) DO YOU BELIEVE:


THERE ARE TOO MANY LAWSUITS? NO YES MAYBE
J URY AWARDS ARE TOO HIGH? NO YES MAYBE
PEOPLE ARE TOO READY TO SUE? NO MAYBE YES
LAWSUITS ARE COSTING US ALL
TOO MUCH MONEY? YES NO MAYBE
18) DO YOU HAVE ANY NEGATIVE FEELINGS ~UT PEOPLE WHO BRING
LAWSUITS FOR MONETARY DAMAGES?
YES NO
IF "YES," PLEASE EXPLAIN:
19) DO YOU HAVE ANY MORAL, ETHICAL, RELIGIOUS, OR OTHER CONCERNS
ABOUT PARTICIPATING AS A J UROR IN A WRONGFUL DEATH LAWSUIT?
YES NO
IF "YES," PLEASE EXPLAIN:
20) DO YOU THINK PEOPLE OFTEN BLAME OTHERS FOR THEIR PROBLEMS,
RA THER THAN TAKE RESPONSIBILITY FOR THEIR OWN ACTIONS?
YES NO
21) DO YOU HOLDTHE OPINION THAT THERE SHOULDBE CAPS OR LIMITS ON THE
AMOUNT OF MONEY J URIES CAN AWARD?
YES NO
IF "YES," PLEASE EXPLAIN:
4

22) WOULDYOU FINDIT DIFFICULT TO AWARDMULTI MILLIONS OF DOLLARS TO


PLAINTIFFS WHO SUE FOR THE DEATH OF A FAMIL Y MEMBER, EVEN IF
PLAINTIFFS PROVED THEIR CASE?
YES NO
IF "YES," PLEASE EXPLAIN:
DOES YOUR ANSWER TO THE QUESTION ABOVE CHANGE BECAUSE
THE PLAINTIFFS IN THIS CASE ARE MICHAEL J ACKSON'S FAMIL Y
(KATHERINE, PRINCE, PARIS, ANDBLANKET)?
YES NO -
IF "YES," PLEASE EXPLAIN:
23) WOULDYOU FINDIT DIFFICULT TO AWARD$ 0DAMAGES TO PLAINTIFFS WHO
SUE FOR THE DEATH OF FAMIL Y MEMBER, EVEN IF THE PLAINTIFFS FAILEDTO
PROVE THEIR CASE?
YES NO
IF "YES," PLEASE EXPLAIN:
DOES YOUR ANSWER TO THE QUESTION ABOVE CHANGE BECAUSE
THE PLAINTIFFS IN THIS CASE ARE MICHAEL J ACKSON'S FAMILY
(KATHERINE, PRINCE, PARIS, ANDBLANKET)?
YES NO
IF "YES," PLEASE EXPLAIN:
5

24) THE FAMILY OF A PERSON WHO THEY BELIEVE DIEDAS A CONSEQUENCE OF


SOMEONE ELSE'S NEGLIGENCE MAY BlliNG A LAWSUIT SEEKING A
MONETARY COMPENSATION FOR THE LOSS OF THEIR FAMILY MEMBER. DO
YOU HAVE ANY OBJ ECTIONS OR NEGATIVE FEELINGS ABOUT THIS TYPE OF
WRONGFUL DEATH SUIT?
YES NO
IF "YES," PLEASE EXPLAIN:
25) DO YOU HAVE ANY OTHER RELIGIOUS OR LONG HELDBELIEFS ABOUT
WRONGFUL DEATH LAWSUITS?
YES NO
IF "YES," PLEASE EXPLAIN:
26) DO YOU HOLDTHE OPINION THAT BECAUSE MONEY CANNOT BRING A
PERSON BACK, WRONGFUL DEATH LAWSUITS SERVE NO PURPOSE?
YES NO
IF "YES," PLEASE EXPLAIN:
27) IF YOU BELIEVED SOMEONE CLOSE TO YOU DIEDAS A RESULT OF SOMEONE
ELSE'S NEGLIGENCE, WOULDYOU CONSIDER A LAWSUIT?
YES NO
IF "YES," PLEASE EXPLAIN:
28) DO YOU HOLDTHE OPINION THAT IF SOMEONE DIES UNEXPECTEDLY, IT
USUALLY IS THE RESULT OF SOMEONE'S NEGLIGENCE?
YES NO
IF "YES," PLEASE EXPLAIN:
6

29) DO YOU BELIEVE THAT LAWSUITS ARE A FAIR WAY TO HOLDCOMPANIES


RESPONSIDLE FOR THEIR ACTIONS?
YES NO
IF "YES," PLEASE EXPLAIN:
30) DO YOU BELIEVE THAT LA WSUITS ONLY DRIVE UP COSTS ANDDO LITTLE
GOOD?
YES NO
IF "YES," PLEASE EXPLAIN:
31) DO YOU HOLDTHE OPINION THAT LAWSUITS AGAINST COMPANIES ARE
USUALLY J UST AN UNFAIR REACH FOR "DEEP POCKETS"?
YES NO
IF "YES," PLEASE EXPLAIN:
32) DO YOU HOLDTHE OPINION THAT IF A COMPANY OR CORPORATION IS SUED,
THEY PROBABLY DIDSOMETHING WRONG?
YES NO
IF "YES," PLEASE EXPLAIN:
33) DO YOU FEEL THAT PEOPLE WHO BRING LAWSUITS ARE USUALLY UNF AIRL Y
BLAMING OTHERS FOR SOME OF THE BADTHINGS THAT J UST OCCUR IN LIFE?
YES NO
IF "YES," PLEASE EXPLAIN:
7

34) HAVE YOU, OR ANYONE CLOSE TO YOU, EVER WORKED IN THE NEWS MEDIA
(TELEVISION, NEWSPAPERS, INTERNET, RADIO, ETC.) OR ENTERTAINMENT
MEDIA (EXTRA, TMZ, PEOPLE MAGAZINE, ETC.)? YES __ NO __
IF YES, WHICH ONES?
35) HAVE YOU, OR ANYONE CLOSE TO YOU, EVER WORKED IN ENTERTAINMENT
LAW? YES NO
IF YES, WHICH ONES?
36) HAVE YOU, OR ANYONE CLOSE TO YOU, EVER WORKED IN OR OTHERWISE
BECOME FAMILIAR WITH ANY OF THE FOLLOWING OCCUPATIONS IN THE
ENTERTAINMENT INDUSTRY:
PERFORMER (WHAT KIND ) YES NO
ENTERTAINMENT MANAGER YES NO
PRODUCER YES NO
DIRECTOR YES NO
CONCERTS/TOURS YES NO
WRITER YES NO
PRODUCTION CREW YES NO
FOR EACH "YES" ANSWER, PLEASE EXPLAIN WHO WAS INVOLVED AND
WHAT THEIR ROLE WAS.
37) DO YOU HAVE ANY GENERAL IMPRESSIONS OF THE RELATIONSHIPS BETWEEN
PERFORMERS ANDMANAGERS, PROMOTERS, OR PRODUCERS IN THE
ENTERTAINMENT INDUSTRY?
YES NO
IF "YES," PLEASE EXPLAIN:
8

~~-------~--------------------------------
38) DO YOU IN GENERAL, HAVE ANY NEGATIVE FEELINGS ABOUT CELEBRITIES ~
OR HIGH-PROFILE PEOPLE?
YES NO
IF "YES," PLEASE EXPLAIN:
39) DO YOU THINK PEOPLE OF WEALTH OR FAME ARE TREATED BETTER IN THE
COURT SYSTEM?
YES NO
IF "YES," PLEASE EXPLAIN:
40) DO YOU THINK CELEBRITIES ANDHIGH-PROFILE PEOPLE FEEL THEY ARE
ENTITLED TO ACT HOWEVER THEY PLEASE?
STRONGLY DISAGREE SOMEWHAT DISAGREE
STRONGLY AGREE NO OPINION
SOMEWHAT AGREE
41) DO YOU THINK CELEBRITIES ANDHIGH-PROFILE PEOPLE ABUSE THEIR POWER
ANDSTATUS TO INTIMIDATE OTHERS INTO GIVING THEM WHAT THEY WANT?
STRONGLY DISAGREE SOMEWHA T DISAGREE
STRONGLY AGREE NO OPINION
SOMEWHAT AGREE
42) CELEBRITIES ANDHIGH-PROFILE PEOPLE THINK THEY CAN BENDTHE RULES.
STRONGLY DISAGREE SOMEWHAT DISAGREE
STRONGLY AGREE NO OPINION
SOMEWHAT AGREE
43) FAMOUS MUSICIANS ARE VERY POWERFUL.
STRONGLY DISAGREE SOMEWHAT DISAGREE
STRONGLY AGREE NO OPINION
SOMEWHAT AGREE
44) FAMOUS MUSICIANS HAVE TOO MUCH PRESSURE ON THEM TO PERFORM.
STRONGLY DISAGREE SOMEWHAT DISAGREE
STRONGLY AGREE NO OPINION
SOMEWHAT AGREE
9

45) EXECUTIVES IN THE ENTERTAINMENT INDUSTRY TAKE ADVANTAGE OF THEIR


PERFORMERS' PERSONAL PROBLEMS.
STRONGLY DISAGREE SOMEWHAT DISAGREE
STRONGLY AGREE NO OPINION
SOMEWHAT AGREE
46) A CONTRACT USUALLY BENEFITS ONE PARTY AT THE EXPENSE OF ANOTHER.
STRONGLY DISAGREE SOMEWHAT DISAGREE SOMEWHAT AGREE
STRONGLY AGREE NO OPINION
47) IF SOMEONE ENTERS INTO A CONTRACT, THEY SHOULDBE REQUIRED TO
FULFILL THEIR ENDOF THE CONTRACT. ;;'"'
STRONGLY DISAGREE SOMEWHA T DISAGREE
STRONGLY AGREE NO OPINION
SOMEWHAT AGREE
48) HAVE YOU EVER BEEN LAIDOFF OR FIREDFROM A J OB? YES_ NO __
IF "YES," PLEASE EXPLAIN:
49) HAVE YOU OR SOMEONE CLOSE TO YOU EVER WORKED AS AN INDEPENDENT
CONTRACTOR? YES NO
IF "YES," PLEASE EXPLAIN:
50) HAVE YOU OR SOMEONE CLOSE TO YOU EVER HIREDAN INDEPENDENT
CONTRACTOR? YES NO
IF "YES," PLEASE EXPLAIN:
51) HAVE YOU EVER BEEN FACEDWITH A DEADLINE AT WORK THAT YOU HAD
DIFFICULTY MEETING? YES NO
52) IN GENERAL, DO YOU RELY ON YOUR DOCTOR'S ADVICE?
YES NO
10

53) HAVE YOU, OR SOMEONE CLOSE TO YOU, EVER BEEN UNDER A DOCTOR'S
CARE FOR A SERIOUS HEALTH CONDITION? YES NO
IF "YES," PLEASE EXPLAIN:
54) DO YOU NOW, OR HAVE YOU EVER, HADA REGULAR PHYSICIAN?
YES NO
55) HAVE YOU, OR SOMEONE CLOSE TO YOU, EVER RECEIVED BADADVICE FROM
A DOCTOR?
YES NO
IF "YES," PLEASE EXPLAIN:
56) HAVE YOU OR ANY FAMIL Y MEMBERS OR CLOSE FRIENDS EVER SUFFERED
AN ILL EFFECT OR INJ URY FROM ANY NEGLIGENT MEDICAL PROCEDURE OR
TREATMENT?
YES NO
IF "YES," PLEASE EXPLAIN, INCLUDING CIRCUMSTANCES AND
ACTION YOU/THEY TOOK, IF ANY, REGARDING THE MEDICAL
NEGLIGENCE.
57) HAVE YOU, OR SOMEONE CLOSE TO YOU, EVER BEEN INVOLVED IN A
MEDICAL MALPRACTICE LAWSUIT?
YES NO
IF "YES," PLEASE EXPLAIN:
58) HAVE YOU EVER CONSIDERED BRINGING A MEDICAL MALPRACTICE
LAWSUIT?
YES NO
IF "YES," PLEASE EXPLAIN:
11

59) HAVE YOU EVER CONSIDEREDYOURSELF TO BE DEPENDENT ON ANY TYPE


OF MEDICATION? YES NO
IF "YES," PLEASE EXPLAIN:
60) HAVE YOU EVER ABUSEDANY TYPE OF MEDICATION? YES_ NO
IF "YES," PLEASE EXPLAIN:
61) HAS ANYONE CLOSE TO YOU EVER BEEN DEPENDENT ON OR ABUSEDANY
TYPE OF MEDICATION?
YES NO
IF "YES," PLEASE EXPLAIN:
62) DO YOU KNOW ANYONE WHO IS, OR HASBEEN, ADDICTEDTO OR DEPENDENT
UPON PRESCRIPTION MEDICATION? YES, SELF_ YES, SOMEONE ELSE__
YES, SELF &SOMEONE ELSE__ NO
63) DO YOU KNOW ANYONE WHO IS, OR HASBEEN, ADDICTEDTO OR DEPENDENT
UPON ALCOHOL?
YES, SELF_ YES, SOMEONE ELSE_ YES, SELF &SOMEONE
ELSE NO
64) DO YOU KNOW ANYONE WHO HAS EVER PARTICIPATEDIN TREATMENT FOR
ADDICTION OR DEPENDENCE?
YES, SELF_ YES, SOMEONE ELSE__ YES, SELF &SOMEONE
ELSE NO
IF "YES," WAS IT SUCCESSFUL? YES NO
PLEASE EXPLAIN:
12

65) ARE YOU FAMILIAR WITH ANY OF THE FOLLOWING PRESCRIPTION


DRUGSfMEDICA TIONS?
SLEEPING PILLS (E.G.,AMBIAN, LUNESTA)
PROPOFOLIDIPRIV AN
DEMEROL
OTHER OPIATES (E.G., VICODIN, MORPHINE)
VALIUM
ATIVAN
YES
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
NO
FOR EACH "YES" ANSWER, PLEASE EXPLAIN HOW YOU ARE FAMILIAR
WITH THE DRUG, WHETHER YOU OR SOMEONE CLOSE TO YOU HAS TAKEN
IT, AND, IF SO, ANY ISSUES THAT AROSE IN CONNECTION WITH IT.
66) HAVE YOU EVER LOST A FAMILY MEMBER, TO AN UNTIMELY DEATH, FOR
REASONS YOU CONSIDER UNFAIR OR UNJ USTIFIED? YES NO
IF "YES," PLEASE EXPLAIN:
67) PEOPLE WHO ARE DEPENDENT UPON OR ABUSE DRUGS ARE ABLE TO STOP IF
THEY WANT TO.
STRONGLY AGREE SOMEWHAT AGREE SOMEWHAT DISAGREE
STRONGLY DISAGREE
68) PEOPLE WHO ARE DEPENDENT UPON OR ABUSE DRUGS ARE UNABLE TO
STOP, EVEN IF THEY WANT TO.
STRONGLY AGREE SOMEWHAT AGREE SOMEWHAT DISAGREE
STRONGLY DISAGREE
13

69) DO YOU BELIEVE THAT PEOPLE WHO DEVELOP A DRUG DEPENDENCY CAN
CHOOSE TO STOP IF THEY WANT TO?
YES NO DON'T KNOW
PLEASE EXPLAIN:
70) DO YOU HAVE ANY RELIGIOUS OR PERSONAL BELIEFS AGAINST PEOPLE
USING PRESCRIPTION DRUGS? -='"'
YES NO
IF "YES," PLEASE EXPLAIN:
71) HAVE YOU EVER HADA BADREACTION TO PRESCRIPTION MEDICATION?
YES NO
72) PRESCRIPTION DRUG USE IS INCREASING IN THE UNITEDSTATES.
STRONGLY DISAGREE SOMEWHAT DISAGREE
STRONGLY AGREE NO OPINION
SOMEWHAT AGREE
73) HAVE YOU EVER KNOWN ANYONE WHO HADTROUBLE SLEEPING TO THE
POINT THAT THEY REQUIRED MEDICATION TO HELP THEM SLEEP?
YES NO
IF "YES," PLEASE EXPLAIN, ANDALSO IDENTIFY THE TYPE OF
MEDICATION (IF KNOWN):
74) HAVE YOU HEARD, READ, SEEN OR OTHERWISE BECOME AWARE OF THE
ISSUE OF DRUG DEPENDENCY AMONG ENTERTAINERS/PERFORMERS?
YES NO
IF "YES," PLEASE EXPLAIN:
14

75) CELEBRITIES HAVE GREATER ACCESS TO PRESCRIPTION MEDICATION THAN


ORDINARY PEOPLE.
STRONGLY DISAGREE SOMEWHAT DISAGREE
STRONGLY AGREE NO OPINION
SOMEWHAT AGREE
76) DO YOU BELIEVE ANYONE OTHER THAN THE INDIVIDUAL DRUG USER CAN
HAVE RESPONSIBILITY FOR AN ADULT'S DRUG USE?
YES NO
IF "YES," PLEASE EXPLAIN:
77) HAVE YOU EVER HEARD/READ/SEEN IN THE MEDIA ANY STORIES LINKING
MICHAEL J ACKSON ANDPRESCRIPTION DRUG DEPENDENCY?
YES NO
IF "YES," PLEASE EXPLAIN:
78) WHAT IS YOUR OPINION OF MICHAEL J ACKSON AS A PERFORMER?
VERY FAVORABLE SOMEWHAT FAVORABLE SOMEWHAT
UNFAVORABLE VERY UNFAVORABLE
PLEASE EXPLAIN:
79) WHAT IS YOUR OPINION OF MICHAEL J ACKSON AS A PERSON?
VERY FAVORABLE SOMEWHAT FAVORABLE SOMEWHAT
UNF AVORABLE VERY UNFAVORABLE
PLEASE EXPLAIN:
80) HOW OFTEN DO YOU LISTEN TO MICHAEL J ACKSON'S MUSIC, IF AT ALL?
_EVERYDAY _A FEW TIMES A WEEK (3-4 TIMES A WEEK) _A COUPLE
OF TIMES A WEEK (1-2 TIMES A WEEK)_ EVERY SO OFTEN (1-2 TIMES A
MONTH OR LESS) _NEVER
15

81) WOULDYOU CONSIDER YOURSELF A FAN OF MICHAEL J ACKSON?


YES NO
IF YES, PLEASE EXPLAIN:
82) HAVE YOU EVER READANY BOOKS ABOUT OR WATCHED ANY TV SHOWS
ABOUT MICHAEL J ACKSON OR THE J ACKSON FAMIL Y?
YES NO
IF YES, PLEASE EXPLAIN:
83) ARE YOU FAMILIAR WITH MICHAEL J ACKSON'S "THIS IS IT" TOUR?
YES NO
IF YES, PLEASE EXPLAIN:
84) DIDYOU HAVE AN OPINION OF THE "THIS IS IT" TOUR?
YES NO
IF YES, WAS IT:
VERY FAVORABLE SOMEWHAT FAVORABLE SOMEWHAT
UNFAVORABLE VERY UNFAVORABLE
PLEASE EXPLAIN:
16

85) DO YOU KNOW ANYTHING ABOUT MICHAEL J ACKSON'S "HISTORY" TOUR?


YES NO
IF YES, PLEASE EXPLAIN WHAT YOU KNOW ANDHOW YOU KNOW
IT:
86) DO YOU KNOW ANYTHING ABOUT MICHAEL J ACKSON'S "DANGEROUS"
TOUR?
YES NO
IF YES, PLEASE EXPLAIN WHAT YOU KNOW ANDHOW YOU KNOW
IT:
87) DO YOU KNOW ANYTHING ABOUT ANY OTHER OF MICHAEL J ACKSON'S
TOURS?
YES NO
IF YES, PLEASE EXPLAIN WHAT YOU KNOW ANDHOW YOU KNOW
IT:
88) ARE YOU FAMILIAR WITH THE "THIS IS IT" DOCUMENTARY FILM?
YES NO
89) DIDYOU EVER WATCH THE THIS IS IT" DOCUMENTARY FILM?
YES NO
IF YES, WHA T WAS YOUR OPINION OF THE "THIS IS IT"
DOCUMENTARY FILM?
VERY FAVORABLE SOMEWHAT FAVORABLE SOMEWHAT
UNFAVORABLE VERY UNFAVORABLE
PLEASE EXPLAIN:
17

90) DIDYOU HEAR, READ, OR SEE ANYTHING IN THE MEDIA ABOUT MICHAEL
J ACKSON'S DEATH?
YES NO
IF YES, PLEASE EXPLAIN WHAT YOU SAW OR HEARDAND
WHETHER IT CAUSEDYOU TO HAVE AN OPINION ABOUT MICHAEL
J ACKSON'S DEATH:
91) HAVE YOU ALREADY FORMEDA STRONG, UNCHANGEABLE OPINION THAT
MICHAEL J ACKSON HIMSELF IS ENTIREty RESPONSIBLE FOR HIS OWN
DEATH? YES NO
IF YES, PLEASE EXPLAIN:
92) HAVE YOU EVER HEARDOF AEG LIVE? YES_ NO_
93) IF YOU HAVE HEARDOF AEG LIVE, WHAT IS YOUR OPINION OF AEG LIVE?
VERY FAVORABLE SOMEWHAT FAVORABLE SOMEWHAT
UNFAVORABLE VERY UNFAVORABLE
PLEASE EXPLAIN:
94) HAVE YOU ALREADY FORMEDA STRONG, UNCHANGEABLE OPINION THAT
AEG LIVE PLAYEDANY PART IN MICHAEL J ACKSON'S DEATH?
YES NO
IF YES, PLEASE EXPLAIN:
18

95) ARE YOU FAMILIAR WITH BRANDON PHILLIPS?


IF "YES," PLEASE EXPLAIN:
96) ARE YOU FAMILIAR WITH PAUL GONGAWARE?
IF "YES," PLEASE EXPLAIN:
97) HAVE YOU, OR ANYONE CLOSE TO YOU, EVER WORKEDFOR, OR DONE ANY
BUSINESS WITH AEG LIVE OR WITH PAUL GONGAWARE AND/OR BRANDON
PHILLIPS? YES NO
IF YES, PLEASE EXPLAIN:
98) ARE YOU FAMILIAR WITH THE STAPLES CENTER? YES_ NO
99) WHAT ISYOUR OPINION OF THE STAPLES CENTER?
VERY FAVORABLE SOMEWHAT FAVORABLE SOMEWHAT
UNFAVORABLE VERY UNFAVORABLE
100) ARE YOU FAMILIAR WITH LA LIVE? YES NO
101) WHAT ISYOUR OPINION OF LA LIVE? VERY FAVORABLE SOMEWHAT
FAVORABLE SOMEWHAT UNFAVORABLE VERY UNFAVORABLE
102) ARE YOU FAMILIAR WITH THE LOS ANGELES STADIUM PROJ ECT,
COMMONLY KNOWN ASFARMER'S FIELD? YES NO
103) WHAT ISYOUR OPINION OF FARMER'S FIELD?
VERY FAVORABLE SOMEWHAT FAVORABLE SOMEWHAT
UNFAVORABLE VERY UNFAVORABLE
19

104) DO YOU, OR DOES ANYONE CLOSE TO YOU, KNOW ANYONE IN MICHAEL


J ACKSON'S FAMILY? YES NO
IF "YES," PLEASE EXPLAIN:
105) ARE YOU FAMILIAR WITH KATHERINE J ACKSON, MICHAEL J ACKSON'S
MOTHER? YES NO
IF "YES," PLEASE EXPLAIN:
106) IF YOU ARE FAMILIAR WITH KATHERINE J ACKSON, WHAT ISYOUR
OPINION OF KATHERINE J ACKSON?
VERY FAVORABLE SOMEWHAT FAVORABLE SOMEWHAT
UNFAVORABLE VERY UNFAVORABLE
107) ARE YOU FAMILIAR WITH ANY OF MICHAEL J ACKSON'S THREE CHILDREN,
KNOWN ASPRINCE, PARIS, ANDBLANKET? YES_ NO
IF "YES," PLEASE EXPLAIN:
108) HAVE YOU HEARDIREAD/SEEN ANYTHING ABOUT A 2005
TRIAL/ALLEGATIONS IN WHICH MICHAEL J ACKSON WAS ACCUSEDOF
MOLESTING A CHILD?
YES NO
IF "YES," PLEASE EXPLAIN:
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109) ASA RESULT OF WHAT YOU HEARDIREAD/SA W, HAVE YOU ALREADY


FORMEDAN OPINION ABOUT ANYTHING RELATING TO THIS CASE?
YES NO
IF "YES," WHAT ISTHAT OPINION:
DO YOU THINK YOU CAN SET ASIDE YOUR OPINION ANDBE A FAIR
ANDIMPARTIAL J UROR IN THIS CASE?
YES NO
IF "NO," PLEASE EXPLAIN:
110) ARE YOU FAMILIAR WITH THE CONRADMURRAY TRIAL?
YES NO
Ill) DIDYOU REGULARLY FOLLOW THE CONRADMURRAY TRIAL?
YES NO
112) HAVE YOU ALREADY FORMEDA STRONG UNCHANGEABLE OPINION THAT
DR. CONRADMURRAY (THE DOCTOR WHO TREATEDMICHAEL J ACKSON)
ISENTIRELY RESPONSIBLE FOR MICHAEL J ACKSON'S DEATH?
YES NO
IF "YES," PLEASE EXPLAIN:
1l3) HAVB YOU ALREADY FORMEDA STRONG UNCHANGEABLE OPINION THAT
MICHAEL J ACKSON CANNOT BE HELDRESPONSIBLE FOR HIS OWN DEATH?
YES NO
IF "YES," PLEASE EXPLAIN:
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114) HAVE YOU HEARDIREAD/SEEN ANYTHING ABOUT THIS CASE AGAINST


AEG BROUGHT BY KATHERINE J ACKSON ANDTHE J ACKSON CHILDREN?
YES NO
IF "YES," WHAT HAVE YOU HEARDIREAD/SEEN:
115) ASA RESULT OF WHAT YOU HEARDIREAD/SAW, HAVE YOU FORMEDAN
OPINION ABOUT ANYTHING RELATING TO THIS CASE?
YES NO ;;-
IF "YES," WHAT ISTHAT OPINION:
DO YOU THINK YOU CAN SET ASIDE YOUR OPINION ANDBE A FAIR
ANDIMPARTIAL J UROR IN THIS CASE?
YES NO
IF "NO," PLEASE EXPLAIN:
116) HAVE YOU FORMEDANY NEGATIVE FEELINGS ABOUT THE
CORPORATIONS WHO ARE SUED?
YES NO
IF "YES," PLEASE EXPLAIN:
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117) DOES ANYONE THINK THAT J UST BECAUSE THE PLAINTIFFS BROUGHT
THIS LAWSUIT TO TRIAL, THEY MUST HAVE A VALIDCASE AGAINST AEG
AND/OR DEFENDANTS?
YES NO
IF "YES," PLEASE EXPLAIN:
118) ACCORDING TO THE LAW, YOU MUST TREAT A CORPORATION THE SAME
ASYOU WOULDAN INDIVIDUAL. WOULDYOU HAVE ANY PROBLEM,
WHATSOEVER, IN TREATING A CORPORATION, SUCH ASAEG LIVE, THE
SAME YOU WOULDTREAT A PLAINTIFF, LIKE KATHERINE J ACKSON OR
ANY OF THE J ACKSON CHILDREN (PRINCE, PARIS, OR BLANKET)?
YES NO
IF "YES," PLEASE EXPLAIN:
119) DO YOU HAVE ANY NEGATIVE FEELINGS ABOUT KATHERINE J ACKSON
BRINGING A LAWSUIT SEEKING MONETARY COMPENSATION FOR HER
SON'S DEATH?
YES NO
IF "YES," PLEASE EXPLAIN:
120) DO YOU HAVE ANY ETHICAL, RELIGIOUS, POLITICAL, OR OTHER BELIEFS
THAT MAY PREVENT YOU FROM SERVING ASAN IMPARTIAL J UROR IN
THIS CASE?
YES NO
IF YES, PLEASE EXPLAIN:
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121) IS THERE ANYTHING ELSE THE COURT ANDATTORNEYS SHOULDKNOW


ABOUT YOU THAT COULDAFFECT YOUR ABILITY TO BE AN IMPARTIAL
ANDFAIR J UROR? YES NO __
IF "YES," PLEASE EXPLAIN:
122) IS THERE ANYTHING ABOUT YOU THAT THIS QUESTIONNAIRE DOES NOT
ADDRESS THAT YOU THINK MIGHT BE IMPORTANT FOR THE ATTORNEYS
ANDTHE J UDGE TO KNOW? YES ;;'" NO __
IF "YES," PLEASE EXPLAIN:
123) THE ATTORNEYS MAY NEEDTO ASK YOU FOLLOW-UP QUESTIONS. ARE
THERE ANY QUESTIONS YOU WOULDPREFER TO DISCUSS IN PRIVATE?
YES NO
IF "YES," PLEASE INDICATE WHICH ISSUES YOU'D PREFER TO
DISCUSS PRIVATELY:
PLEASE USE THIS SPACE FOR ANY CONTINUED COMMENTS FROM
QUESTIONNAIRE. PLEASE INDICATE THE QUESTI ON NUMBER:
24

I DECLARE UNDER PENALTY OF PERJ URY UNDER THE LAWS OF THE STATE
OF CALIFORNIA THAT THE ANSWERS IN THIS QUESTIONNAIRE ARE TRUE
ANDCORRECT TO THE BEST OF MY KNOWLEDGE.
DATEDTHE __ DAYOF ,2013
SIGNED: _
PLEASE PRINT YOUR FULL LEGAL NAME HERE: _
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