Preston v. City Of Oakland et al

Filing 133

JURY QUESTIONNAIRE. Parties may submit objections by 9/10/15 at 12:00 p.m. Parties must pick up completed questionnaires at 10 a.m. on 9/11/15 in the San Francisco Courthouse. Parties must deliver a copy of the completed questionnaires for the Court to the San Jose Courthouse by 4 p.m. on 9/11/15. Signed by Judge Nathanael Cousins on 9/8/15. (nclc3S, COURT STAFF) (Filed on 9/8/2015)

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UNITED STATES DISTRICT COURT

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NORTHERN DISTRICT OF CALIFORNIA

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DARYELLE LAWANNA PRESTON,
Plaintiff,

United States District Court
Northern District of California

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Case No.14-cv-02022-NC
JURY QUESTIONNAIRE

v.
CITY OF OAKLAND, et al.,
Defendants.

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The Court has considered the parties’ stipulated jury questionnaire, and modifies the

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jury questionnaire as follows. The questionnaire is attached, and will not include any

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identifying information about the case. Any objections may be made by September 10 at

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12:00 p.m.

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The jury will be called on September 11, 2015 at 8:30 a.m. Each party must have at

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least one attorney or other authorized individual available in the San Francisco courthouse

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clerks’ office at 10:00 a.m. to photocopy and pick up the completed questionnaires. The

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parties must make at least three copies of the questionnaires, one for each party, and one

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for the Court. The original completed questionnaires will remain with the San Francisco

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courthouse. The parties must deliver a copy of the completed questionnaires to Judge

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Nathanael Cousins’ chambers in San Jose by 4:00 p.m. on Friday, September 11. The

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parties must certify at the completion of trial that they have destroyed or returned the

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questionnaires.
Case No. 14-cv-02022 NC

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The parties and the Court will review the questionnaires prior to calling the jury on

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Monday, September 14. The Court will provide the parties an opportunity to stipulate to

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and discuss striking jurors for cause on Monday, September 14. However, the Court will

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not strike any jurors prior to that date.

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IT IS SO ORDERED.

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Dated: September 8, 2015

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_____________________________________
NATHANAEL M. COUSINS
United States Magistrate Judge

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United States District Court
Northern District of California

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Case No. 14-cv-02022 NC

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PRINT ALL ANSWERS

Juror #
Juror Questionnaire: Civil Trial
United States District Court, Northern District of California, San Francisco

FULL NAME
1.
What city do you live in?
2.
List cities where you have lived in the past 10 years:

DATE OF BIRTH:
How long?

3.
4.

What is your highest level of education?
List all degrees (with major), certificates, and licenses:

5.
6.

What is your occupation?
Your current employer:
How long?
If retired or unemployed, list your last job and date:
Has your job involved the following responsibilities:
(a) Supervising others:  Yes  No
(b) Evaluating others:  Yes  No
(c) Hiring or firing others:  Yes  No
Do other adults live in your household?  Yes  No
If yes, what are their occupations?
If you have children or step-children, please list (including children who do not live with you):

7.

8.
9.

Sex

Age

Occupation

Employer

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10.
11.

What is your marital status?
 Married  Single, Never Married  Divorced  Separated  Widowed
What are/were the occupations of your parents?

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12.

Have you or someone close to you ever had training or been employed in any of the following
fields? (Check all that apply.)
a.

Audits or compliance investigations

 Yes, self

 Yes, someone else

b.

Human resources / personnel management

 Yes, self

 Yes, someone else

c.

Law, any legal field

 Yes, self

 Yes, someone else

d.

Mediation or dispute resolution

 Yes, self

 Yes, someone else

e.

Law enforcement

 Yes, self

 Yes, someone else

f.

Actuarial work

 Yes, self

 Yes, someone else

g.

Courts

 Yes, self

 Yes, someone else

h.

Legislative branch

 Yes, self

 Yes, someone else

If yes to any of the above, please explain:

13.

What social, civic, professional, trade, or other organizations are you affiliated with? Please note
if you have held any offices in the organization.

14.

Have you, or has a family member, ever served in the military? (Check all that apply.)
 Yes, I have
 Yes, a family member has
 No
If yes: Which branch?
Dates served:
Rank:

15.
16.
17.
18.
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Have you ever had any prior jury service?  Yes, criminal  Yes, civil  No
If yes, where did you serve on a jury?
If yes (to #14), how many of those cases reached a verdict?
If yes (to #14), were you the foreman?
Have you or anyone close to you ever sued anyone, or been sued by anyone?
 Yes, sued someone
 Yes, been sued
 No
If yes, explain:

20.

Have you or someone close to you ever been involved in an incident of retaliation in the
workplace?
 Yes
 No If yes, explain, including if it was resolved satisfactorily:

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21.

Have you or someone close to you ever been a member of and/or held a position with a union?
 Yes
 No If yes, explain:

22.

Have you or someone close to you ever been employed by the City of Oakland?
 Yes
 No If yes, explain:

23.

Do you have any experience with the following:
a. Labor negotiations

 Yes

 No

b. Union negotiations

 Yes

 No

If yes to any, please explain:

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What is your primary source of news?
Describe your hobbies:

26.

Identify any magazines that you subscribe to:

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Describe any ethical, religious, or other beliefs that may prevent you from serving as a juror:

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Describe any disabilities that would require accommodation for you to participate in the jury:

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Are you taking any medication or drugs which will prevent you from hearing and remembering
testimony or seeing evidence?
 Yes

30.

 No

If yes, explain:

This trial will take place from 9 a.m. to 4 p.m. Monday through Friday, for up to 10 days of trial,
plus an unknown length of jury deliberation. Do you have a hardship that would prevent you from
serving on this jury until September 25? (A hardship is considered based upon medical need,
severe financial hardship, care of young children or dependent adults, travel to court of more than
75 miles, pre-paid travel, and/or an inability to understand and read English.)
 Yes  No
If yes, explain:

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31.

Is there anything else that the Court and the parties should know about you that could affect your
ability to be a fair and impartial juror in this case?
 Yes  No
If yes, explain:

Because you must decide this case based only on the evidence received in the case and the Court’s
instructions as to the law that applies, you must not be exposed to any other information about the case
or to the issues it involves during the course of your jury duty. Thus, until you are dismissed from the
jury, or the end of the case, you may not communicate with anyone in any way about the merits of the
case or anything to do with it. This includes discussing the case in person, in writing, by phone or
electronic means, via e-mail, text messaging, or any Internet chat room, blog, website or other feature.
Additionally, you may not conduct any outside research of your own, including searching for
information about the case, parties, or attorneys on the internet.

I declare under the penalty of perjury that all the foregoing is true and correct, and I acknowledge
that I have read and will abide by the Court’s instructions above.

SIGNATURE

DATE

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