Juror Questionnaire; Non-Capital Cases

CONFIDENTIAL JUROR QUESTIONNAIRE

JUROR NAME: _________________________________

DATE OF BIRTH: ______________________________

Marital status: single _____ married _____ separated ____ divorced ____ widowed _____

1. Please describe your employment for the last 10 years, including duties, number of people supervised, etc.

   ____________________________________________________________________________________________

   ____________________________________________________________________________________________

   ____________________________________________________________________________________________

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2. Please provide the same information about your spouse’s employment, if applicable.

   ____________________________________________________________________________________________

   ____________________________________________________________________________________________

   ____________________________________________________________________________________________

   ____________________________________________________________________________________________

3. Please provide the following information about your children, if applicable.

   Age M or F School Attended/Attending College Degree Occupation

   ____________________________________________________________________________________________

   ____________________________________________________________________________________________

   ____________________________________________________________________________________________

   ____________________________________________________________________________________________

4. Your military service: a) Total years served _________

   b) Branch ______________ c) Rank _________________

5. Your education level, including degrees obtained, major area of study, and schools attended.

   ____________________________________________________________________________________________

   ____________________________________________________________________________________________

   ____________________________________________________________________________________________

6. Listed below are questions about your personal interests and opinions, we are interested in your answers; however, you may leave blank any question you do not wish to answer:

   a) Newspapers/magazines that you read ____________________________________________________________________________________________

   b) Leisure time interests...