SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO JUROR QUESTIONNAIRE Juror Name:_________________________________ Badge Number:_____________________ Phone Number:_______________________________ E-mail Address:____________________ Please read these instructions carefully before you fill out the questionnaire This questionnaire is part of the jury selection process and part of the public record of this case. Your answers will be used by the judge and attorneys to help select a qualified jury and will make the jury selection process shorter and easier. Please take as much time as you need to complete this questionnaire. You are ordered not to discuss this case with anyone; do not allow anyone to discuss the case with you. The only information you may tell anyone is that you are in a jury pool for a trial and the time requirements of that trial. You are also ordered not to read, listen to, or watch any news, Internet, or other media accounts of this case, past or present. You may not do research about any issues involved in the case. You may not blog, Tweet, or use the Internet to obtain or share information. (CCP §1209(a)(10)) It is extremely important that you answer all the questions yourself, honestly and completely. There are no "right" or "wrong" answers, just complete and incomplete ones. All answers are given under penalty of perjury. If you have trouble understanding or filling out this questionnaire, please let the court clerk know. Some of your answers may require follow-up questions in open court by the judge or by the attorneys. You may find some questions to be sensitive and you may prefer not to discuss your answers in open court. If you find question(s) sensitive, please do not answer the question(s) and simply write "confidential" in the space provided for the answer. Please do not write on the back of any page. If you need additional space for your answers, use the blank space provided on the last page of the questionnaire. When you are finished, please give the questionnaire to the clerk who will give you instructions about when to return to court to continue the process of selecting a jury. Thank you for your jury service. Effective 4/1/2104 American LegalNet, Inc. www.FormsWorkFlow.com