Juror Questionnaire - Gender Discrimination and Breach of Contract
NO. _______________
§ IN THE DISTRICT COURT OF
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Plaintiff §
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v. § _______________, TEXAS
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Defendant § _____ JUDICIAL DISTRICT
JUROR QUESTIONNAIRE
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 the facts proved in Court, not on emotion or other views supported by the evidence.
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. The questions are asked not to invade your privacy, but to make sure that you will be a fair and impartial juror. If there is anything that you do not want to talk about in open court, please circle the question number. You must answer each question truthfully.
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. Please write or print as legibly as possible.
Please print your full name: _________________________________________________
What is your present address? _______________________________________________ _______________________________________________________________________
When you hear the phrase “gender discrimination,” what comes to mind? ________________________________________________________________________________________________________________________________________________
Have you known anyone who has been a victim of gender discrimination?
__________ Yes _________ No
If yes, please tell us about that situation. _______________________________________ ________________________________________________________________________
Do you know anyone who has ever been accused of gender discrimination?
__________ Yes _________ No
If yes, please tell us about that situation. _______________________________________ ________________________________________________________________________
Has anyone ever done anything to you that you felt was gender discrimination?
__________ Yes _________ No
Have you ever had a bad experience with a co-worker?
__________ Yes _________ No
If yes, and it’s not too personal, please tell us about that situation.
________________________________________________________________________ ________________________________________________________________________
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In a case where a former employee is suing a business entity for gender discrimination, would you start out tending to favor the following:
_______________ the employee.
_______________ the business entity.
_______________ neither.
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If you felt that a supervisor or co-worker was a victim of gender discrimination, what would you do? _________________________________________________________________ ________________________________________________________________________________________________________________________________________________
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Do you rent or own your home? _____________________________________________
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How long have you lived at your current address?________________________________
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Have you moved in the past five years? __________ Yes __________No
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If yes, how many times have you moved? ________
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What is your place of birth? _________________________________________________
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Do you know any of the following people:
[Insert list of names of people involved in the case.] _________ Yes __________ No
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Have you or any member of your family ever had any dealings with any of the following law firms:
[Insert list of names of law...
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