VF-2507C. Hostile Work Environment Harassment--Widespread Sexual Favoritism--Individual Defendant (Gov. Code, � 12940(j)) Instruction No 1 Request by Plaintiff Given as Proposed Refused Withdrawn Request by Defendant Given as Modified Requested by Given on Court's Motion Judge Instruction No 1 We answer the questions submitted to us as follows: 1. Was [name of plaintiff] [an employee of/a person providing services under a contract with] [name of employer]? ____ Yes ____ No If your answer to question 1 is yes, then answer question 2. If you answered no, stop here, answer no further questions, and have the presiding juror sign and date this form. 2. Was there sexual favoritism in the work environment? ____ Yes ____ No If your answer to question 2 is yes, then answer question 3. If you answered no, stop here, answer no further questions, and have the presiding juror sign and date this form. 3. Was the sexual favoritism widespread, and also severe or pervasive? ____ Yes ____ No If your answer to question 3 is yes, then answer question 4. If you answered no, stop here, answer no further questions, and have the presiding juror sign and date this form. 4. Would a reasonable [describe member of protected group, e.g., woman] in [name of plaintiff]'s circumstances have considered the work VF-2507C. Hostile Work Environment Harassment--Widespread Sexual Favoritism--Individual Defendant (Gov. Code, � 12940(j)) Instruction No 1 Request by Plaintiff Given as Proposed Refused Withdrawn Request by Defendant Given as Modified Requested by Given on Court's Motion Judge Instruction No 1 environment to be hostile or abusive? ____ Yes ____ No If your answer to question 4 is yes, then answer question 5. If you answered no, stop here, answer no further questions, and have the presiding juror sign and date this form. 5. Did [name of plaintiff] consider the work environment to be hostile or abusive? ____ Yes ____ No If your answer to question 5 is yes, then answer question 6. If you answered no, stop here, answer no further questions, and have the presiding juror sign and date this form. 6. Did [name of defendant] [participate in/assist/ [or] encourage] the sexual favoritism? ____ Yes ____ No If your answer to question 6 is yes, then answer question 7. If you answered no, stop here, answer no further questions, and have the presiding juror sign and date this form. 7. Was the sexual favoritism a substantial factor in causing harm to [name of plaintiff]? VF-2507C. Hostile Work Environment Harassment--Widespread Sexual Favoritism--Individual Defendant (Gov. Code, � 12940(j)) Instruction No 1 Request by Plaintiff Given as Proposed Refused Withdrawn Request by Defendant Given as Modified Requested by Given on Court's Motion Judge Instruction No 1 ____ Yes ____ No If your answer to question 7 is yes, then answer question 8. If you answered no, stop here, answer no further questions, and have the presiding juror sign and date this form. 8. What are [name of plaintiff]'s damages? [a. Past economic loss [lost earnings [lost profits [medical expenses [other past economic loss Total Past Economic Damages: [b. Future economic loss [lost earnings [lost profits [medical expenses [other future economic loss $ $ $ $ ] ] ] ] $ $ $ $ $ ] ] ] ] ] VF-2507C. Hostile Work Environment Harassment--Widespread Sexual Favoritism--Individual Defendant (Gov. Code, � 12940(j)) Instruction No 1 Request by Plaintiff Given as Proposed Refused Withdrawn Request by Defendant Given as Modified Requested by Given on Court's Motion Judge Instruction No 1 Total Future Economic Damages: $ [c. Past noneconomic loss, including [physical pain/mental suffering:] [d. Future noneconomic loss, including [physical pain/mental suffering:] TOTAL $ Signed: Dated: After [this verdict form has/all verdict forms have] been signed, notify the [clerk/bailiff/court attendant] that you are ready to present your verdict in the courtroom. Presiding Juror ] ] ] $ $ ________________________________________________________________________________ Derived from former CACI No. VF-2506 December 2007; Revised December 2010, December 2014, December 2016