"The Apple iPod iTunes Anti-Trust Litigation"
Filing
801
PRE-TRIAL ORDER NO. 1. Signed by Judge Yvonne Gonzalez Rogers on 10/3/14. (Attachments: # 1 Exhibit: Prescreen Questionnaire)(fs, COURT STAFF) (Filed on 10/3/2014)
JUROR QUESTIONNAIRE
Please PRINT your answers.
TO BE COMPLETED BY ALL JURORS:
Name _________________________________________Age ___________ Birthplace ______________________
Prior
Residence _________________________ Years _______Residence _________________________Years ______
(City/Town)
(City/Town)
Education:
Highest grade completed ______________________ Degrees ____________________________
College and/or vocational schools attended____________________________________________
Areas of Study __________________________________________________________________
Occupation:
Occupation/Position _____________________________________________________________
Employer and Length of Service ___________________________________________________
Prior Occupation: Occupation/Position _____________________________________________________________
Employer and Length of Service ___________________________________________________
Current Status (Circle): Single (living alone or with other(s)) Married
Separated
Divorced
Widowed
Occupation & Employer of Adults Living in Same Household:________________________________________
_____________________________________________________________________________________________
Children: Age(s) _______________ Occupation (if employed) ________________________________________
_____________________________________________________________________________________________
Military Service or Law Enforcement Training:
Q NO Q YES
If yes, describe:__________________________________________________________________
Prior Jury Duty:
Q NO Q YES
Number of times______
Circle: State Court
Federal Court
Date(s) of Service__________________ Civil or criminal case(s) ________________________
Did (all of) the jury(ies) reach a verdict?
Q NO Q YES
I declare under penalty of perjury that the foregoing information is true and correct.
Signature:____________________________________
Date: _______________________
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