Apple Inc. v. Samsung Electronics Co. Ltd. et al
Filing
1198
Proposed Voir Dire by Apple Inc. Joint Jury Questionnaire. (Jacobs, Michael) (Filed on 7/10/2012)
JUROR QUESTIONNAIRE
This questionnaire is designed to obtain information from you with respect to your
qualifications to sit as a juror in this case. Your answers will be used by the judge and attorneys
to help select a qualified jury and will make the jury selection process shorter and easier.
Please answer the questions as completely as possible. The information contained within the
questionnaire will become part of the Court’s permanent record, but it will not be distributed
to anyone except the people associated with the parties and the court. Some of your answers
may require follow‐up questions by the judge or by the attorneys. If you prefer not to answer
any of the questions or prefer not to discuss your answer in an open court, please write the
word “PRIVATE” next to the question or your answer, and we will take this matter up with you
in private.
This questionnaire is part of the jury selection process. The questions must be answered by you
under penalty of perjury and you should fill out this questionnaire by yourself without
consulting any other person. You are ordered not to read, listen to, watch any news, Internet,
or other media accounts of this case. You are also ordered not to do research about any issues
involved in this case. You may not blog, Tweet, or use Internet to obtain or share information
about this case.
Please use the back of the questionnaire should you wish to make further comments regarding
any of your answers, and please remember to indicate the corresponding question number.
If you do not understand a question, please write “I DO NOT UNDERSTAND” and the question
will be explained to you in Court.
PLEASE REALIZE THERE ARE NO RIGHT OR WRONG ANSWERS – JUST HONEST ONES.
02198.51855/4836600.1
ACTIVEUS 98297725v1
PRINT ALL ANSWERS
Juror # _________________
FULL NAME _________________________________________________________________
1. Gender:
Male
Female
Age: ________
2. Place of Birth (city, state, or if applicable, city and country) ___________________________
3. Neighborhood where you live: _____________________________ How long? ___________
4. What is the highest level of education that you have completed?
Less than high school
High school/GED
Technical or vocational
Some college classes
2‐year college degree
4‐year college degree
Postgraduate classes
Postgraduate degree
List any certificates or degrees (with major) you have obtained: _______________________
___________________________________________________________________________
5. Your current employment status (check all that apply):
Employed full‐time Homemaker Self‐employed Retired for _____ year(s)
Employed part‐time Disabled Student Unemployed, looking for work
Other (Please explain: _____________________________________________________)
6. Please answer the following questions about your current job or your last job (if you are not
currently employed):
(1) Who is/was your employer? ___________________________________________________
(2) How long have you worked or did you work for this employer? _______________________
(3) What are/were your job duties? _______________________________________________
(4) If you are/were employed by the government or the military, please indicate the highest
rank or GS level you obtained): _________________________________________________
(5) Do/did you supervise others?
Yes No
7. Please list the jobs you have had over the past 10 years, including your job duties.
JOB TITLE & DUTIES
EMPLOYER
WHEN
1
2
3
02198.51855/4836600.1
ACTIVEUS 98297725v1
8. Do you, a family member, or close friend have any special training, education or work
experience in the following areas?
AREA
IF YES, WHO?
EXPLAIN
1
Law, law firms, court system
2
Patents, copyrights, trademarks
3
5
Cell phone and/or computer
tablet technology,
manufacturing, or sales
Computer technology,
manufacturing or sales
Accounting
6
Contracts
7
Research and development
4
9. Have you or your spouse ever owned a business? Yes
No
If yes, what type of business?____________________________________________
10. Are you currently married or living with a significant other?
Yes
No
If yes, please describe his/her occupation and employer:
___________________________________________________________________________
11. Do you, a family member, or a close friend have any business relationship (including stock
ownership) with the following companies? Check yes for all that apply and please explain
the relationship.
Company
Yes
EXPLAIN
1
Apple
2
Samsung
3
Google
02198.51855/4836600.1
ACTIVEUS 98297725v1
4
Motorola
12. Have you ever been on a jury? Yes No
If yes, please indicate (1) whether it was a criminal or civil case, and (2) what was the
outcome ___________________________________________________________________
Were you the foreperson? Yes No
13. Have you ever been involved in a lawsuit, as a plaintiff, defendant or witness? Yes No
If yes, please describe your involvement and what happened:
___________________________________________________________________________
14. Do you own a cell, mobile, and/or smart phone? Yes
No
If yes, who makes your cell, mobile, and/or smart phone? _________________________
15. Do you own a tablet computer? Yes
No
If yes, who makes your tablet computer? _______________________
16. Is there anything that may affect your ability to serve as a juror in this case? Yes
No
If yes, please explain:_________________________________________________________
__________________________________________________________________________
02198.51855/4836600.1
ACTIVEUS 98297725v1
Disclaimer: Justia Dockets & Filings provides public litigation records from the federal appellate and district courts. These filings and docket sheets should not be considered findings of fact or liability, nor do they necessarily reflect the view of Justia.
Why Is My Information Online?