Documentos de Académico
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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
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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:
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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:
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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
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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:
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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:
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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:
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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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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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