343 D Prop Joint Juror Questionnaire

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Case 1:07-cv-00026-OWW-DLB Document 343 Filed 05/11/2009 Page 1 of 6

1 Mark A. Wasser CA SB #0601602 LAW OFFICES OF MARK A. WASSER400 Capitol Mall, Suite 26403 Sacramento, California 95814Phone: (916) 444-6400Fax: (916) 444-64054 E-mail: [email protected] Attorney for Defendant County ofKern6

UNITED STATES DISTRICT COURTEASTERN DISTRICT OF CALIFORNIA

789

10 DAVID F. JADWIN, D.O. Case No.: 1:07-cv-00026-0WW-DLB

13 COUNTYOF KERN, et aI.,

1112

141516171819202122232425262728

vs.Plaintiff,

Defendants.

DEFENDANT'S PROPOSED JOINTJUROR QUESTIONNAIREDate: May 12,2009Time: 9:00 a.m.Place: U.S. District Court, Courtroom 32500 Tulare Street, Fresno, CADate Action Filed: January 6, 2007

DEFENDANT'S PROPOSED JOINT JUROR QUESTIONNAIRE


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JUROR QUESTIONNAIREUnited States District Court, Fresno DivisionJudge Oliver W. Wanger

INSTRUCTIONS: Thank you for coming to court as a potential juror. The judge and the peopleinvolved in this case need to know some things about you to select jurors who can be fair to both sides.As a juror, you must return a verdict based on the law and on the facts proved in court, not on emotion oron other views or facts not supported by the evidence. The judge will give you instructions on the law and on howyou should go about deciding the case. You must listen to and follow the judge's instructions.Of course, everyone has attitudes and opinions which come from their life experiences that they bring into

the courtroom. Sometimes these experiences can make it difficult to look at issues in an unbiased and unemotionalway. The questions on this form are designed to address that concern to ensure that you can be a fair and impartialjuror for this case. They are not intended to invade your privacy or make you uncomfortable.PLEASE PRINT YOUR ANSWERS. IF THERE IS NOT ENOUGHROOM FOR YOUR ANSWER, PLEASEATTACHA BLANKPIECE OF PAPER. WRITE THE QUESTIONNUMBERNEXT TO YOUR ANSWER.Juror # I Full Name: Gender: Female Male

Ae:e:1. In which county do you currently live (do not give your address): 2. With regard to your home:Calaveras - Fresno _ Inyo - Kern _Kings - Own - House- Madera Mariposa Merced Stanislaus Tulare Rent Apartment3. Date and Place of Birth: 4. Is English your first language? Yes No- -IF NO, what is?5. Your current or most receut occupation: 6. Your current marital status:

_Never married, living alone Divorced for _yrs_Engaged _Separated for _ yrsMarried or partnered yrs Widowed for yrs

7. Your present employment status (check all that apply): _ Employed full time_ Employed part-time - Retired _ Unemployed, looking for workHomemaker Student Unemployed, not looking for work8. What a re your specific duties and responsibilities at work?

9. a. Do yon supervise others? _ Yes No If yes, how many?b. Do vou have authority to discipline, hire or fire otbers? Yes No10. Your highest level of education completed:- Grade school or less _ Technical or vocational school (major):_ High school graduate _ College graduate (major):_ Some college or AA degree _ Post graduate study (major):Other (please explain):II. All other employment you have had (and for how long):

12. All full-time employment ofyour spouse or any person with whom you have a significant personalrelationship (and fo r how long):

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13. Have you or has anyone close to you had training or work experience in any of th e following?Medical services Mental health services - Tnsurance claims- - - -Human resources _ _ Workplace discrimination - Law- -Tfyou have checked any of the above, please explain:14. Ar e you or is anyone close to you a member of a 15. Have you ever been on a jury before?labor union? Yes No Yes - No- -I f yes, explain: Was it: Civil? - Criminal?-I f ves, did von reach a verdict? Yes No16. Have you or has anyone close to you ever sned 17. Do you feel that money damages in lawsuits ar eor been sued in any type oflawsuit. (check one):Sued -- Been Sued _ Often too large - - Often too low- -Explain: _ About right _ Other (specifY):18. Have you, or has anyone close to yon, ever been 19. Have you ever been involved in disciplining ordemoted, terminated, or laid of f from a job? terminating someone or implementing a layoff?Yes, demoted Yes, terminated - Yes - - No- - -_ Yes, laid off - No Tfyes, explain:If yes, explain:20. Have you or anyone close to yon ever missed a 21. Generally, how fair do you think employers ar esignificant a mount of time from work fo r health to their employees?reasons (excluding pregnancy)? -- Yes No _ V e r y Somewhat fair _No t very - Not at all- -If yes, explain:22. Have you or a family member been diagnosed 23. Have you or anyone close to you ever receivedwith anxiety or a depressive disorder? - Yes - No treatment from a psychiatrist or psychologist?If yes, explain: Yes No--If yes, explain:24. Do you agree or disagree w ith a w a rding someone 25. Have yon ever felt as though your workload ormoney damages for: position was affected by a co-worker being on medicalPast future wage loss: _ Agree __ Disagree or disability leave or restrictions? _ Yes - NoFuture wage loss: _Agree _ _ DisagreePin, suffering and emotional distress?Agree Disagree26. Some people think we as a society have goneoverboard trying to accommodate workers withdisabilities and/or medical condition. Do you_Agree or _ D i s a g r e eExplain:

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27. Have you or anyone close to you ever worked at, 28. Do you have auy particularly positive or negativebeen a patient at, or had any other contact with impression ofKern Medical Center?Kern Medical Ceuter? Yes No Yes No- - - -If yes, explain: If yes, describe:

29. Have you or anyone close to you everworked 30. Do you believe there should be limits ou thefor the Couuty ofKern or auy other governmeut ability to sue government agencies? _ Yes - Noagency? Yes No31. This case involves a dispute between an employer and an employee who claims a disability. Is there anyreason why you might not be an appropriate juror in a case with that issue? _ Yes - No

32. Describe any problems (vision, hearing, dental or other medical problems) that might affect your juryService.33. Do you have any ethical, religious, political or IF YES TO 30 and/or 31, please explaiu:other beliefs that might prevent you from serving asa juror? Yes No34. Is there anything not covered by this question-naire that might affect your abil ity to be a fair andimpartial juror?Yes No35. The attorneys may need to ask you follow-upquestions. Are there any questions you wouldprefer to discuss in private? Yes No36. How would you describe your political orientation?Very liberal I 2 3 4 5 6 7 Very conservative37. Howmuch coufidence do you have inmajor companies in our country?None at all I 2 3 4 5 6 7 Very much38. How much confidence do you have in our financial institutions?None at all I 2 3 4 5 6 7 Very much39. Please give an opinion about how much money our system is spending on welfare:Far too little I 2 3 4 5 6 7 Far too much40. In spite ofwhat people say, conditions for the average person are getting worse, not better.Strongly Disagree I 2 3 4 5 6 7 Strongly Agree41. I t is hardly fair to bring a child into the world with the way things look for the future:Strongly Disagree I 2 3 4 5 6 7 Strongly Agree42. Most public officials are not really interested in the problems of the average person:StronglyDisagree I 2 3 4 5 6 7 Strongly Agree43. How often do you feel that people are too quick to sue rather than settling disputes?Never I 2 3 4 5 6 7 Very frequentlyUSDC, ED Case No. I:07-cv-00026 OWW DLBJUROR QUESTIONNAIRE 3


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44. To what extent do you believe that people should accept the cards they are dealt iu life?None at all I 2 3 4 5 6 7 Very much45. To what extent do you believe that people generally "bring on" what happens to them?None at all I 2 3 4 5 6 7 Very much46. To what extent do you believe that it is worth the effort for people to try to change their lot in life?None at all I 2 3 4 5 6 7 Very much47. To what extent do you believe that peoples' futures are determined mostly by fate?None at all I 2 3 4 5 6 7 Vervmuch48. To what extent do you believe that people usually get what they deserve in life?None at all I 2 3 4 5 6 7 Vervmuch49. To what extent do you believe that wheu people meet with misfortune, it is usually through uo fault oftheir own?None at all I 2 3 4 5 6 7 Vervmuch50. To what extent do you believe that good deeds in life usually go unnoticed and unrewarded?None at all I 2 3 4 5 6 7 Very much51. To what extent do you believe that whether or not people like you usually depends on how you act?Not at all I 2 3 4 5 6 7 Verymuch52. To what extent do you believe you can often influence what happens in the future by things you do today?Not at all I 2 3 4 5 6 7 Vervmuch53. To what extent do you believe that, when bad things are going to happen, they are usually going to happen,no matter what you do?Not at all I 2 3 4 5 6 7 Vervmuch54. Which would you rather have on your side - brains or luck?Luck ] 2 3 4 5 6 7 Brains55. How much of yourworking life has involved supervising other employees?None of it ] 2 3 4 5 6 7 All of it56. How much do you tend to participate when you are in a discussion group?Not at all I 2 3 4 5 6 7 Vervmuch57. How often do you find yourselffunctioning as one of the leaders in group situations?Never I 2 3 4 5 6 7 Very frequent]v58. How often have you been selected to head or preside over a group?Never ] 2 3 4 5 6 7 Very frequently

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59. Have you ever seen auy movies or TV shows that depict someone with depressiou?Yes No60. Have you ever read books or magaziue articles about depression?Yes No61. Have you ever provided care for someone who was diagnosed with depression?Yes No62. What is your general understanding of depressiou?

Signature: _Thank you.Please return this completed Questionnaire to the Clerk.

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343 D Prop Joint Juror Questionnaire

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