Code of Civil Procedure Section 205(c)-(d)This Juror Questionnaire has been drafted under the authority of Code of Civil Procedure section 205(c)-(d) and is intended to expedite jury selection. It is not intended to alter statutes or rules governing the authority of the court or the role of counsel during voir dire.Sec. 2. Use Notes for CourtsA. GeneralThis Juror Questionnaire is intended for use in the court's discretion in appropriate civil cases. Its use in cases of brief duration may not be appropriate. Particular kinds of cases may require that this questionnaire be altered or augmented. The Personal Injury Supplement is intended to be used along with the General Questions in personal injury actions. Judges, in their own discretion, must determine what additional kinds of inquiry are appropriate in any given case.B. Pre226Voir Dire ConferenceIt is suggested that the Juror Questionnaire be used after the court has given its customary introductory remarks and any additional instructions that the court deems appropriate. The court also may wish to tell the panel members that a questionnaire will be used, to encourage complete answers, and to remind them that their answers will be given under penalty of perjury. In introducing the questionnaire, the court should instruct prospective jurors how to proceed if they have difficulty reading or filling out the form.The court could direct that the Juror Questionnaire be given to prospective jurors by the jury commissioner in the jury assembly room. However, this procedure ordinarily will mean that jurors are not given complete instructions about the type of case they will hear or the identity of participants and witnesses. In addition, jurors who fill out the form before appearing in the trial court may not clearly understand that their answers are given under penalty of perjury. For these reasons, and to avoid the need to have jurors fill out supplemental questionnaires once they have been sent to the trial court, it is strongly recommended that the Juror Questionnaire be used in the trial court setting.JUROR QUESTIONNAIRE FOR CIVIL CASES/Code of Civil Procedure section 205(c)-(d)A Form Approved for Optional Use Judicial Council of California JURY-001 [Rev. September 1, 2018] Sec. 1. Statutory AuthorityJUROR QUESTIONNAIRE FOR CIVIL CASESC. Introduction of Questionnaire to Prospective JurorsThe court should confer with counsel about voir dire before a jury panel is called. At this conference, the court may establish (1) guidelines for the use of the Juror Questionnaire, (2) any supplemental questions to be propounded to the panel by questionnaire, (3) the extent of the court's oral inquiry of the panel, and (4) the extent of oral questioning by counsel. Proposed supplemental questions drafted by counsel should be filed and served at least three court days before the pre226voir dire conference. Arrangements for duplication of completed questionnaires should be confirmed. The parties should share the cost of duplication.JURY-001 American LegalNet, Inc. Introduction and InstructionsThank 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 on the facts proved in court, not on emotion or on other views not supported by the evidence. The judge will give you instructions on the law and on how you should go about deciding the case. You must listen to and follow the judge's instructions.The questions on this form are designed to help the court and the lawyers learn something about your background and your views on issues that may be related to this case. The questions are asked not to invade your privacy, but to make sure that you can be a fair and impartial juror. If there is any reason why you might not be able to give both sides a fair trial in this case, it is important that you say so.In portions of this form, you will see the term "significant personal relationship." That term means a former spouse, domestic partner, life partner, or anyone with whom you have an influential or intimate relationship that you would characterize as important.If there is anything you do not want to talk about in open court, please circle the question number. After you have finished the questionnaire, let the clerk know that you have circled one or more question numbers.Do not write on the back of any page. Use an additional sheet of paper.If you are called to the jury box, your answers to this questionnaire become a matter of public record, just as if you had answered the questions aloud in the courtroom.If you have trouble reading, understanding, or filling out this form, please let the court clerk know.PLEASE REMEMBER THAT YOU ARE ANSWERING THESE QUESTIONS UNDER PENALTY OF PERJURY. YOUR ANSWERS MUST BE TRUE AND COMPLETE. THANK YOU FOR YOUR HELP IN SELECTING A FAIR JURY.JUROR QUESTIONNAIRE FOR CIVIL CASES/Introduction and InstructionsB Form Approved for Optional Use Judicial Council of California JURY-001 [Rev. September 1, 2018] JUROR QUESTIONNAIRE FOR CIVIL CASESThe judge has decided to use this form to save time and to give you a chance to tell the court and the lawyers about yourself.JURY-001 American LegalNet, Inc. General Questions PLEASE PRINT ALL ANSWERS LEGIBLY1.1AREA, NEIGHBORHOOD, OR COMMUNITY IN THIS COUNTY WHERE YOU CURRENTLY LIVE (DO NOT GIVE YOUR ADDRESS):AREA, NEIGHBORHOOD, OR COMMUNITY WHERE YOU HAVE LIVED IN THE PAST 10 YEARS (AND DATES):WHAT IS THE HIGHEST LEVEL OF EDUCATION YOU COMPLETED?1.5IF YOU PLAN TO ATTEND OR ARE CURRENTLY ATTENDING SCHOOL, DESCRIBE:1.6IF YOU HAVE TAKEN ANY COURSES OR HAD ANY TRAINING IN MEDICINE OR OTHER HEALTH CARE FIELD, DESCRIBE:JUROR QUESTIONNAIRE FOR CIVIL CASES1.21.31.4 JUROR QUESTIONNAIRE FOR CIVIL CASES/General Questions 1C-1Form Approved for Optional Use Judicial Council of California JURY-001 [Rev. September 1, 2018] FULL NAME: DATE AND PLACE OF BIRTH: HOUSE APARTMENT OWN RENT GRADE SCHOOL OR LESS SOME HIGH SCHOOL HIGH SCHOOL GRADUATE OTHER (PLEASE EXPLAIN): (MAJOR): (MAJOR): (MAJOR): (MAJOR):SOME COLLEGE COLLEGE GRADUATE POSTGRADUATE STUDY TECHNICAL, VOCATIONAL, OR BUSINESS SCHOOL JURY-001 American LegalNet, Inc. EDUCATIONAL BACKGROUND OF ANY OTHER ADULT WHO LIVES IN YOUR HOME, INCLUDING ANY DEGREES OR CERTIFICATES EARNED:YOUR PRESENT EMPLOYMENT STATUS (CHECK ALL THAT APPLY):YOUR CURRENT OR MOST RECENT OCCUPATION:NAME OF YOUR CURRENT OR MOST RECENT EMPLOYER OR, IF A STUDENT, YOUR SCHOOL:WHAT ARE YOUR SPECIFIC DUTIES AND RESPONSIBILITIES ON THE JOB?DOES YOUR JOB INVOLVE SUPERVISING OTHER PEOPLE?ARE YOU INVOLVED IN THE HIRING OR FIRING OF OTHER EMPLOYEES?ARE YOU INVOLVED IN EVALUATING THE JOB PERFORMANCE OF OTHER EMPLOYEES?ALL OTHER EMPLOYMENT YOU HAVE HAD (AND FOR HOW LONG):ALL FULL-TIME EMPLOYMENT OF YOUR SPOUSE OR ANY PERSON WITH WHOM YOU HAVE A SIGNIFICANT PERSONAL RELATIONSHIP (AND FOR HOW LONG):WHAT ARE/WERE THE OCCUPATIONS OF YOUR PARENTS? (IF RETIRED, WHAT DID THEY DO BEFORE?)IF YOU HAVE TAKEN ANY COURSES OR HAD ANY TRAINING IN LAW OR A RELATED SUBJECT, DESCRIBE: JUROR QUESTIONNAIRE FOR CIVIL CASES/General Questions 2C-2Form Approved for Optional Use Judicial Council of California JURY-001 [Rev. September 1, 2018] 1.7 1.8 1.9 EMPLOYED FULL-TIME EMPLOYED PART-TIME HOMEMAKER RETIRED STUDENT UNEMPLOYED, LOOKING FOR WORK UNEMPLOYED, NOT LOOKING FOR WORK 1.10 1.121.11 1.13YES NO YES NO YES NO 1.14 1.15 1.16 1.171.18 MOTHER: FATHER: IF YES, APPROXIMATELY HOW MANY?JURY-001 American LegalNet, Inc. 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:WHAT SOCIAL, CIVIC, PROFESSIONAL, TRADE, OR OTHER ORGANIZATIONS ARE YOU AFFILIATED WITH?DESCRIBE ANY OFFICES YOU HAVE HELD IN ORGANIZATIONS LISTED ABOVE:DO