WI-LAN Inc. v. Alcatel-Lucent USA Inc. et al
Filing
415
Joint MOTION Approval of Proposed Agreed Juror Questionnaire by Alcatel-Lucent USA Inc., Ericsson Inc., Exedea INC., HTC America, Inc., HTC Corporation, Sony Mobile Communications (USA) Inc., Sony Mobile Communications AB, Telefonaktiebolaget LM Ericsson, WI-LAN Inc.. (Attachments: # 1 Exhibit A - Agreed Juror Questionnaire, # 2 Text of Proposed Order)(Bufe, John)
Exhibit A
TO PROSPECTIVE JURORS
This questionnaire is designed to obtain information with respect to your qualifications to sit as a juror in
this case. Use of this questionnaire will shorten the jury selection process. 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 attorneys in the case and the judge.
During the questioning by the Court or the attorneys, you will be given an opportunity to explain or expand any
answers, if necessary. If for any reason you do not want to answer any of the questions asked, please write
the word "PRIVATE" next to the question 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.
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.
*
*
*
JUROR QUESTIONNAIRE
Juror No. ______
Age:
Male Female
1.
Name
2.
What is the last level of education you completed: Less than High School High School/GED
Some College/Technical Associates Degree College Degree Advanced D eg ree
Major or field of study:_____________________________________________________________
3.
What is your current marital status? Single Married Separated Divorced Divorced, but remarried Widowed
4.
Spouse’s Name:
5.
What is your current employment status? (Check all that apply)
Full-time Part Time Self-employed Full-time homemaker Unemployed, not looking for work Unemployed,
looking for work Disabled/Worker’s Compensation Retired Student Other
6.
Please list your employment history for the past three jobs (continue on back of paper if needed). If you own or owned a
business, please also state the number of employees:
Dates/Employer
Job Title
Nature of Business
No. of Employees
Spouse’s Employer:
JUROR QUESTIONNAIRE
7.
Have you ever held a public service job or worked for the government? Yes No If yes, please describe (If military
service, include branch and highest rank):
8.
Do you use a smart phone (for example, Blackberry, iPhone, or Samsung Galaxy phone)?
9.
Do you use a computer? Yes No If so, what for: [Check all that apply]
Email Shopping Work
Searching for information News Finance Sports Listen to music Read books Watch videos
Other
10. Do you have internet access at home? Yes No
If yes, what kind? [e.g., dial up, DSL, cable, satellite] ______________________________
11. Outside of your appearance here in court as a prospective juror, what experiences have you had with the legal or judicial
system:
12. Have you or someone close to you ever: Been a witness in court? Yes No
Brought a case or lawsuit: Yes No
Been sued? Yes No If yes to any of the above, please describe what
kind of lawsuit and what was the outcome:
13. Have you or someone close to you ever worked in the legal field or had specialized legal training? Yes No
If yes, please describe:_______________________________________________________________________________
Yes
Yes
Yes
Yes
14. a. Have you ever created or developed an idea or new technology?
b. Have you or someone you know considered filing for a patent?
c. Has someone used an idea of yours without permission?
d. Have you ever been accused of using the idea of someone else?
If yes to any of the above, please describe:
No
No
No
No
15. Please list any organizations or groups that you belong to, participate in, or donate money to (for example, social, fraternal,
service, political, business, and community organizations):
16. What are your hobbies, recreational interests, or leisure time activities:
17. Do you watch television on a regular basis? Yes No
If yes, what stations, programs, or hosts:
18. Do you read newspapers or magazines on a regular basis? Yes No
If yes, what newspapers or magazines:
19. Do you own stock in any of the following companies:
Wi-LAN? Yes No
Alcatel-Lucent? Yes No
Sony? Yes No
Your Signature:
Ericsson? Yes No
HTC? Yes No
Date Signed:
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